Individual
MRS. DEBORAH BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
626 BURNETT DR, MOUNTAIN HOME, AR 72653-2941
(870) 424-4200
(870) 424-4327
Mailing address
626 BURNETT DR, MOUNTAIN HOME, AR 72653-2941
(870) 424-4200
(870) 424-4327
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A#40
AR
231HA2400X
Assistive Technology Practitioner Audiologist
A#40
AR
237600000X
Audiologist-Hearing Aid Fitter
A#40
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56101
BLUE CROSS BLUE SHIELD
AR
Enumeration date
07/21/2005
Last updated
07/16/2007
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