Provider Demographics
NPI:1346409836
Name:BAKER, JAMES BARTON (MS CCC-A)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:BARTON
Last Name:BAKER
Suffix:
Gender:M
Credentials:MS CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 SE 5TH TER
Mailing Address - Street 2:SUITE 11
Mailing Address - City:CRYSTAL RIVER
Mailing Address - State:FL
Mailing Address - Zip Code:34429-4878
Mailing Address - Country:US
Mailing Address - Phone:352-795-5700
Mailing Address - Fax:352-795-8663
Practice Address - Street 1:970 LAKE CARILLON DR
Practice Address - Street 2:SUITE 300
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33716-1129
Practice Address - Country:US
Practice Address - Phone:727-202-8924
Practice Address - Fax:352-795-8663
Is Sole Proprietor?:No
Enumeration Date:2008-06-09
Last Update Date:2015-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY629231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist