Provider Demographics
NPI:1003289505
Name:MCCOY, BAILEY (AUD)
Entity Type:Individual
Prefix:
First Name:BAILEY
Middle Name:
Last Name:MCCOY
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 1:15446 NW 124TH ST
Mailing Address - Street 2:
Mailing Address - City:PLATTE CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64079-8396
Mailing Address - Country:US
Mailing Address - Phone:785-443-0012
Mailing Address - Fax:
Practice Address - Street 1:15446 NW 124TH ST
Practice Address - Street 2:
Practice Address - City:PLATTE CITY
Practice Address - State:MO
Practice Address - Zip Code:64079-8396
Practice Address - Country:US
Practice Address - Phone:785-443-0012
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-05
Last Update Date:2015-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist