Individual
LINDA JEAN BAUMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA-CCC/L
Contact information
Practice address
9850 OLD PERRY HWY, WEXFORD, PA 15090-9311
(412) 366-7900
Mailing address
9850 OLD PERRY HWY, WEXFORD, PA 15090-9311
(412) 366-7900
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
23149175
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00822213
AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATIION
—
01
—
23149175
STATE CERTIFICATION
PA
Enumeration date
10/20/2009
Last updated
10/20/2009
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