Provider Demographics
NPI:1528404621
Name:BAER, CARTER AE (MA CCC-SLP)
Entity Type:Individual
Prefix:MR
First Name:CARTER
Middle Name:AE
Last Name:BAER
Suffix:
Gender:M
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 E 21ST ST
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:MI
Mailing Address - Zip Code:49423-4808
Mailing Address - Country:US
Mailing Address - Phone:616-610-7550
Mailing Address - Fax:
Practice Address - Street 1:70 E 21ST ST
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:MI
Practice Address - Zip Code:49423-4808
Practice Address - Country:US
Practice Address - Phone:616-610-7550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-15
Last Update Date:2013-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist