Individual
MICHELLE BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2008 CANTERWOOD, HIGHLAND, MI 48357-4236
(248) 207-4102
Mailing address
2008 CANTERWOOD, HIGHLAND, MI 48357-4236
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101003271
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12027437
AMERICAN SPEECH-LANGUAGE HEARING ASSOCIATION LICENSE
MI
01
—
7101003271
LICENSE
MI
Enumeration date
09/08/2016
Last updated
09/08/2016
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