Provider Demographics
NPI:1144252362
Name:BAKER, JENI MERRICK (AUD)
Entity type:Individual
Prefix:
First Name:JENI
Middle Name:MERRICK
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 1:3330 NW 56TH ST STE 105
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-4426
Mailing Address - Country:US
Mailing Address - Phone:405-673-1327
Mailing Address - Fax:405-673-1327
Practice Address - Street 1:3330 NW 56TH ST STE 105
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-4426
Practice Address - Country:US
Practice Address - Phone:405-673-1327
Practice Address - Fax:405-673-1327
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-07
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK316237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK316OtherSPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY
OK12044971OtherASHA