Individual
KANDICE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-A/SLP,TSHH
Contact information
Practice address
14794 GRAND CENTRAL PKWY, BRIARWOOD, NY 11435-1226
(347) 392-4111
Mailing address
14794 GRAND CENTRAL PKWY, BRIARWOOD, NY 11435-1226
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
002126
NY
235Z00000X
Speech-Language Pathologist
017708
NY
Other
Enumeration date
03/12/2008
Last updated
09/18/2008
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