Individual
MRS. PAMELA BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAED. CCC/SLP
Contact information
Practice address
5890 LEFT FORK MACES CREEK RD, VIPER, KY 41774-8458
(606) 439-2520
Mailing address
5890 LEFT FORK MACES CREEK RD, VIPER, KY 41774-8458
(606) 439-2520
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1086
KY
Other
Enumeration date
05/08/2014
Last updated
05/08/2014
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