Individual
AMY HERRICK BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
16030 BOTHELL EVERETT HWY STE 140, MILL CREEK, WA 98012-1273
(425) 338-9005
Mailing address
9904 NE 134TH CT, KIRKLAND, WA 98034-1907
(425) 273-6123
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00003639
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6242BA
REGENCE ID
WA
05
—
8394132
—
WA
Enumeration date
08/01/2006
Last updated
07/08/2007
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