Individual
MACKENZIE BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 E CITY LINE AVE, BALA CYNWYD, PA 19004-1708
(610) 628-0249
Mailing address
301 E CITY LINE AVE, BALA CYNWYD, PA 19004-1708
(610) 628-0249
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/03/2025
Last updated
06/03/2025
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