Provider Demographics
NPI:1750329850
Name:BAKER, KAREN ANDREA (MCD, CCC-SLP)
Entity Type:Individual
Prefix:MISS
First Name:KAREN
Middle Name:ANDREA
Last Name:BAKER
Suffix:
Gender:F
Credentials:MCD, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2319 ANNANDALE DR
Mailing Address - Street 2:ANDERSON
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29621-2182
Mailing Address - Country:US
Mailing Address - Phone:864-225-9102
Mailing Address - Fax:
Practice Address - Street 1:2319 ANNANDALE DR
Practice Address - Street 2:ANDERSON
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29621-2182
Practice Address - Country:US
Practice Address - Phone:864-225-9102
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3874235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist