Provider Demographics
NPI:1033731922
Name:HOLZHAUSEN, BAILEY ELILZABETH (MA CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:BAILEY
Middle Name:ELILZABETH
Last Name:HOLZHAUSEN
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:MS
Other - First Name:BAILEY
Other - Middle Name:ELILZABETH
Other - Last Name:BAKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA CCC-SLP
Mailing Address - Street 1:PEDIATRIC COMMUNICATION SOLUTIONS
Mailing Address - Street 2:2761 WASHINGTON DRIVE SUITE 111
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069
Mailing Address - Country:US
Mailing Address - Phone:405-438-0090
Mailing Address - Fax:405-493-0717
Practice Address - Street 1:PEDIATRIC COMMUNICATION SOLUTIONS
Practice Address - Street 2:2761 WASHINGTON DRIVE SUITE 111
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069
Practice Address - Country:US
Practice Address - Phone:405-438-0090
Practice Address - Fax:405-493-0717
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-13
Last Update Date:2020-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK5309235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist