NPI 1861052250 · live from the CMS NPI Registry
Devyn Baker, SLP
Speech-Language Pathologist, in Black Diamond, WA. National Provider Identifier 1861052250, active.
NPI record
| NPI | 1861052250 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 29020 216th St Ave Se, Black Diamond, WA 98010 |
| Practice phone | 360-886-2379 |
| Enumerated | June 18, 2019 |
| Last updated | June 18, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | LL60965878 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.