Provider Demographics
NPI:1386609287
Name:BAKER, LINDA DARLENE (AUD)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:DARLENE
Last Name:BAKER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11437 E TOMICHI DR
Mailing Address - Street 2:
Mailing Address - City:FRANKTOWN
Mailing Address - State:CO
Mailing Address - Zip Code:80116-8534
Mailing Address - Country:US
Mailing Address - Phone:303-660-9930
Mailing Address - Fax:
Practice Address - Street 1:11211 S DRANSFELDT RD
Practice Address - Street 2:133
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-9385
Practice Address - Country:US
Practice Address - Phone:303-841-8818
Practice Address - Fax:303-841-5088
Is Sole Proprietor?:No
Enumeration Date:2006-04-20
Last Update Date:2008-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO72231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO07002876Medicaid
COC1063Medicare PIN