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Contact Information

JENIFER L BAKER, MCD, CCC-SLP
13890 BRADDOCK RD
SUITE 205
CENTREVILLE, VA20121-2435
 Phone: 540-720-2261
 Fax: 540-720-5660
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for JENIFER L BAKER · (Female)

NPI # 1750623740
Status Active
Credentials MCD, CCC-SLP
Entity Individual
Enumeration date 03/18/2013
Last updated 03/18/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • VA License # 2202006929
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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