Individual
MRS. AMY S BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
245 N 3RD E, MOUNTAIN HOME, ID 83647-2734
(208) 587-8255
(208) 587-4475
Mailing address
245 N 3RD E, MOUNTAIN HOME, ID 83647-2734
(208) 587-8255
(208) 587-4475
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
104084
TX
235Z00000X
Speech-Language Pathologist
Primary
SLP-1973
ID
Other
Enumeration date
08/08/2008
Last updated
08/25/2010
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