Provider Demographics
NPI:1467070045
Name:BAIER, ANNA MAUREEN
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:MAUREEN
Last Name:BAIER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:605 KNOTT CT
Mailing Address - Street 2:
Mailing Address - City:EULESS
Mailing Address - State:TX
Mailing Address - Zip Code:76039-5802
Mailing Address - Country:US
Mailing Address - Phone:817-706-4075
Mailing Address - Fax:
Practice Address - Street 1:605 KNOTT CT
Practice Address - Street 2:
Practice Address - City:EULESS
Practice Address - State:TX
Practice Address - Zip Code:76039-5802
Practice Address - Country:US
Practice Address - Phone:817-706-4075
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-09
Last Update Date:2020-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist