Provider Demographics
NPI:1003061094
Name:HALPERN, BAILA (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:BAILA
Middle Name:
Last Name:HALPERN
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:195 LAKESIDE DR S
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:NY
Mailing Address - Zip Code:11559-1720
Mailing Address - Country:US
Mailing Address - Phone:516-225-4521
Mailing Address - Fax:
Practice Address - Street 1:195 LAKESIDE DR S
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:NY
Practice Address - Zip Code:11559-1720
Practice Address - Country:US
Practice Address - Phone:516-225-4521
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-18
Last Update Date:2008-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016981235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist