MEDICARE: HILLARY BENNETT-BAKER CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	105363	TX

General Provider Information

NPI Number	:	1508146986
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HILLARY BENNETT-BAKER CCC-SLP

Provider Business Mailing Address
First Line	:	2629 SHARPVIEW LN
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75228-6047
Country	:	US
Telephone Number	:	713-501-4986
Fax Number	:

Provider Business Practice Location Address
First Line	:	2629 SHARPVIEW LN # L
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75228-6047
Country	:	US
Telephone Number	:	713-501-4986
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/17/2011
Last Update Date	:	12/14/2021

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Directions to “ HILLARY BENNETT-BAKER CCC-SLP” Practice Location

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