Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RAE FAZENBAKER
Deactivated Sole ProprietorRAE FAZENBAKER is a Speech, Language and Hearing Specialist healthcare provider located in WESTERNPORT, Maryland. NPI 1184023533 is deactivated in the NPPES registry. Verify at CMS.
Speech, Language and Hearing Specialist · WESTERNPORT, MD
This NPI has been deactivated.
The record was deactivated on March 18, 2019.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1184023533
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 21, 2014 (4.572602739726 yrs)
- Last Updated
- Jun 14, 2019
- Deactivated
- Mar 18, 2019
- License
-
07242 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
128 KALBAUGH STWESTERNPORT, MD, 215621511Browse MD providers · Browse ZIP 21562
- Phone
- 3018763743
- Primary Specialty
-
Speech, Language and Hearing Specialist
235Z00000X
Other Speech, Language and Hearing Specialist Providers in WESTERNPORT, MD
| Name | Credential | NPI |
|---|---|---|
| MRS. VALERIE MAE RAVENSCROFT | SLP | 1447320395 |
| MRS. CRYSTAL KNOTTS | SLP | 1669718995 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.