Jennifer Ellen Baucom, MCD CCC-SLP Valid NPI

Individual provider · Speech-Language Pathologist · Doniphan, MO

NPI

1003026428

Type

Individual (Type 1)

Primary specialty

Speech-Language Pathologist

Specialty group

Speech, Language and Hearing Service Providers

Taxonomy code

235Z00000X

License number

2002000259 (MO)

Sex

Female

Sole proprietor

No

Enumerated

2007-05-23

Last updated

2007-07-08