Individual
MRS. LISA M BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
1424 10TH ST, IRWIN, PA 15642-3830
(724) 552-6147
Mailing address
1424 10TH ST, IRWIN, PA 15642-3830
(724) 552-6147
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL007884
PA
Other
Enumeration date
07/21/2014
Last updated
07/21/2014
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