Provider Demographics
NPI:1053840280
Name:TOON, BAILEY CAIN (MS, SLP-CF)
Entity Type:Individual
Prefix:
First Name:BAILEY
Middle Name:CAIN
Last Name:TOON
Suffix:
Gender:F
Credentials:MS, SLP-CF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2003 PRICE ST
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:TX
Mailing Address - Zip Code:75654-2523
Mailing Address - Country:US
Mailing Address - Phone:903-646-0049
Mailing Address - Fax:
Practice Address - Street 1:450 E LOOP 281 STE B1
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75605-7969
Practice Address - Country:US
Practice Address - Phone:903-757-7731
Practice Address - Fax:903-757-3756
Is Sole Proprietor?:No
Enumeration Date:2017-06-10
Last Update Date:2017-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX113425235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist