Individual
JESLYN BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
271 HILLCREST RD, WAYNE, PA 19087-2423
(267) 573-3034
Mailing address
524 S 13TH ST APT A, PHILADELPHIA, PA 19147-1134
(717) 802-1605
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14309239
PA
Other
Enumeration date
05/04/2022
Last updated
05/04/2022
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