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NPI Code Detail

MEDICARE: ELLEN BAKER CCC-SLP

MEDICARE: ELLEN 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
1235Z00000XSpeech-Language PathologistSLP.0002306CO

General Provider Information

NPI Number : 1699311076
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELLEN BAKER CCC-SLP
Provider Business Mailing Address
First Line : 2550 HIGHWAY 82 UNIT D200
Second Line :
City : GLENWOOD SPRINGS
State : CO
Zip : 81601-4316
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 851 E 5TH ST
Second Line :
City : RIFLE
State : CO
Zip : 81650-2941
Country : US
Telephone Number : 970-625-0842
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2019
Last Update Date : 11/21/2019

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Directions to “ ELLEN BAKER CCC-SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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