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Individual

JESSICA M BAUMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
3300 PROVIDENCE DR STE B201, ANCHORAGE, AK 99508-4621
(907) 212-3116
(907) 212-2570
Mailing address
PO BOX 4105, PORTLAND, OR 97208-4105
(866) 907-1068
(425) 917-9141

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
128619
AK

Other

Enumeration date
07/31/2020
Last updated
07/31/2020
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