Individual
RITA T BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
193 SAM LISENBY RD, OZARK, AL 36360-3048
(334) 445-6336
(334) 445-6363
Mailing address
193 SAM LISENBY RD, OZARK, AL 36360-3048
(334) 445-6336
(334) 445-6363
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
85
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51530489
BCBS OF ALABAMA
AL
05
—
890013850
—
AL
Enumeration date
02/26/2010
Last updated
02/26/2010
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