Provider Demographics
NPI:1730649914
Name:BAUMIS, KATE ASHLEY (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:KATE
Middle Name:ASHLEY
Last Name:BAUMIS
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 1:121 BUCKINGHAM DR
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47909-6917
Mailing Address - Country:US
Mailing Address - Phone:765-714-2188
Mailing Address - Fax:
Practice Address - Street 1:121 BUCKINGHAM DR
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47909-6917
Practice Address - Country:US
Practice Address - Phone:765-714-2188
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-22
Last Update Date:2019-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN22006638A235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist