Individual
BARRY BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SLP
Contact information
Practice address
201 KIMBERLY LN, WILLIAMSTOWN, KY 41097-9458
(859) 824-7803
Mailing address
PO BOX 54455, CINCINNATI, OH 45254-0455
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11250
OH
Other
Enumeration date
10/23/2020
Last updated
10/23/2020
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