Individual
MRS. DELANA JORDAN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
303 E GRANITE ST, LLANO, TX 78643-3005
(512) 810-1850
Mailing address
303 E GRANITE ST, LLANO, TX 78643-3005
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149984001
—
TX
Enumeration date
12/14/2009
Last updated
09/23/2021
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