Provider Demographics
NPI:1689271439
Name:BAKER, CAROLINE HARBAT (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:HARBAT
Last Name:BAKER
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1022 WHELDON SHIVERS DR
Mailing Address - Street 2:
Mailing Address - City:EWING
Mailing Address - State:NJ
Mailing Address - Zip Code:08628-2421
Mailing Address - Country:US
Mailing Address - Phone:609-517-4209
Mailing Address - Fax:
Practice Address - Street 1:1022 WHELDON SHIVERS DR
Practice Address - Street 2:
Practice Address - City:EWING
Practice Address - State:NJ
Practice Address - Zip Code:08628-2421
Practice Address - Country:US
Practice Address - Phone:609-517-4209
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-05
Last Update Date:2020-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ12021773235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist