Individual
MRS. ANGELA K BAXTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
6126 GROVELAND DR, FORT WAYNE, IN 46835-3715
(260) 485-9124
Mailing address
6126 GROVELAND DR, FORT WAYNE, IN 46835-3715
(260) 485-9124
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22003827A
IN
Other
Enumeration date
12/14/2012
Last updated
12/14/2012
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