MEDICARE: MS. JANE K. BAUGHMAN M.A., 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	01766	MO

General Provider Information

NPI Number	:	1982650073
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JANE K. BAUGHMAN M.A., CCC-SLP

Provider Business Mailing Address
First Line	:	1200 E WOODHURST DR
Second Line	:	STE. M300
City	:	SPRINGFIELD
State	:	MO
Zip	:	65804-4257
Country	:	US
Telephone Number	:	417-882-7284
Fax Number	:	417-889-8695

Provider Business Practice Location Address
First Line	:	1200 E WOODHURST DR
Second Line	:	STE. M300
City	:	SPRINGFIELD
State	:	MO
Zip	:	65804-4257
Country	:	US
Telephone Number	:	417-882-7284
Fax Number	:	417-889-8695

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

Provider Enumeration Date	:	05/26/2006
Last Update Date	:	07/08/2007

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