Provider Demographics
NPI:1265727747
Name:BAKER, JANELLE (MA CCC-SLP)
Entity type:Individual
Prefix:
First Name:JANELLE
Middle Name:
Last Name:BAKER
Suffix:
Gender:F
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 1:2851 S PARKER RD
Mailing Address - Street 2:SUITE 426
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-2736
Mailing Address - Country:US
Mailing Address - Phone:303-888-4840
Mailing Address - Fax:303-362-8986
Practice Address - Street 1:2851 S PARKER RD
Practice Address - Street 2:SUITE 426
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-2736
Practice Address - Country:US
Practice Address - Phone:303-888-4840
Practice Address - Fax:303-362-8986
Is Sole Proprietor?:No
Enumeration Date:2011-06-13
Last Update Date:2014-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist