Individual ProviderLisa M BakerSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address1424 10th St, Irwin, PA 15642-3830(724) 552-6147PECOS EnrollmentBased on the most recent information from CMS, provider Lisa M Baker does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 9 days ago.Profile DetailsProvider ID1417364522Provider TypeIndividualFull NameBaker, Lisa MTitleMrs.CredentialMA, CCC-SLPGenderFemaleSole ProprietorNoEnumeration Date7/21/2014Last Updated7/21/2014Contact InformationPractice LocationPractice Address1424 10th St, Irwin, PA 15642-3830Phone(724) 552-6147FaxUnlisted FaxMailing LocationMailing Address1424 10th St, Irwin, PA 15642-3830Phone(724) 552-6147FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicenseSL007884Pennsylvania