National Provider Identifier

Tara Marie Baldwin

Tara Marie Baldwin is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Henrietta, NY and a listed phone number of (585) 506-6450.

NPI 1053612531Henrietta, NYSpeech-Language Pathologist

Profile Overview

NPI
1053612531
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
November 15, 2010
Last Updated
December 12, 2013

Practice Location

  • 108 Buckley Pl
  • Henrietta, NY 14467-9341

Phone: (585) 506-6450

Mailing Address

  • 229 Stony Point RD
  • Rochester, NY 14624-1945

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1053612531
Entity Type
Individual
Last Name
Baldwin
First Name
Tara
Middle Name
Marie
Mailing Street Address
229 Stony Point RD
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14624-1945
Mailing Country
US
Practice Street Address
108 Buckley Pl
Practice City
Henrietta
Practice State
NY
Practice ZIP Code
14467-9341
Practice Country
US
Practice Phone
(585) 506-6450
Enumeration Date
November 15, 2010
Last Updated
December 12, 2013
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)