Provider Demographics
NPI:1962951889
Name:BAIER, JILLIAN MAUREEN (AUD)
Entity type:Individual
Prefix:DR
First Name:JILLIAN
Middle Name:MAUREEN
Last Name:BAIER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:DR
Other - First Name:JILLIAN
Other - Middle Name:MAUREEN
Other - Last Name:SCHMIDT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:1941 LIMESTONE RD STE 210
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-5400
Mailing Address - Country:US
Mailing Address - Phone:302-998-0300
Mailing Address - Fax:
Practice Address - Street 1:1941 LIMESTONE RD STE 212
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-5400
Practice Address - Country:US
Practice Address - Phone:301-998-0300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-04
Last Update Date:2019-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT006487231H00000X
DEO2-0000249231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist