Provider Demographics
NPI:1215666961
Name:BAKER, CLAIRE C (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:CLAIRE
Middle Name:C
Last Name:BAKER
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:CLAIRE
Other - Middle Name:ANN
Other - Last Name:CRUCIAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SLPA
Mailing Address - Street 1:519 N ELDER GROVE DR
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-7789
Mailing Address - Country:US
Mailing Address - Phone:713-256-7426
Mailing Address - Fax:
Practice Address - Street 1:5151 BUFFALO SPEEDWAY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77005-4271
Practice Address - Country:US
Practice Address - Phone:713-432-1386
Practice Address - Fax:713-432-1364
Is Sole Proprietor?:No
Enumeration Date:2022-06-08
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX24853235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist