Provider Demographics
NPI:1477143758
Name:YOCHEVED BAUM SLP SERVICES
Entity Type:Organization
Organization Name:YOCHEVED BAUM SLP SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST/AVT
Authorized Official - Prefix:
Authorized Official - First Name:YOCHEVED
Authorized Official - Middle Name:YVETTE
Authorized Official - Last Name:HALPERN
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC-SLP
Authorized Official - Phone:917-579-8017
Mailing Address - Street 1:343 CHERRY HILL BLVD
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08002-1908
Mailing Address - Country:US
Mailing Address - Phone:917-579-8017
Mailing Address - Fax:
Practice Address - Street 1:343 CHERRY HILL BLVD
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08002-1908
Practice Address - Country:US
Practice Address - Phone:917-579-8017
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-21
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center