Provider Demographics
NPI:1326166638
Name:BAGINSKI, CARRIE L (M SLP)
Entity Type:Individual
Prefix:MS
First Name:CARRIE
Middle Name:L
Last Name:BAGINSKI
Suffix:
Gender:F
Credentials:M SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2628 BEAR RUN DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-1476
Mailing Address - Country:US
Mailing Address - Phone:412-401-3552
Mailing Address - Fax:
Practice Address - Street 1:2628 BEAR RUN DR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-1476
Practice Address - Country:US
Practice Address - Phone:412-401-3552
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL007681235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist