Healthcare Provider Details

I. General information

NPI: 1134403538
Provider Name (Legal Business Name): BARBARA M. BAKER & ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2011
Last Update Date: 10/04/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3043 BRECKENRIDGE LN
LOUISVILLE KY
40220-2101
US

IV. Provider business mailing address

539 BARBERRY LN
LOUISVILLE KY
40206-2976
US

V. Phone/Fax

Practice location:
  • Phone: 502-583-8255
  • Fax: 502-589-4860
Mailing address:
  • Phone: 502-387-1649
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. BARBARA M. BAKER
Title or Position: OWNER AND DIRECTOR
Credential: PH.D.
Phone: 502-387-1649