Individual
SHAWNRY J BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9041 EXECUTIVE PARK DR, SUITE 126, KNOXVILLE, TN 37923-4621
(865) 693-5622
(865) 769-0801
Mailing address
9115 JENNY COOK CIR, KNOXVILLE, TN 37923-2271
(404) 983-4332
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP007121
GA
Other
Enumeration date
09/30/2009
Last updated
07/03/2014
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