Provider Demographics
NPI:1073086740
Name:YERBY, BAILEY KAYE (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:BAILEY
Middle Name:KAYE
Last Name:YERBY
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:MS
Other - First Name:BAILEY
Other - Middle Name:KAYE
Other - Last Name:WHATLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS
Mailing Address - Street 1:4902 29TH ST UNIT 3D
Mailing Address - Street 2:
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80634-8301
Mailing Address - Country:US
Mailing Address - Phone:940-366-6196
Mailing Address - Fax:
Practice Address - Street 1:561 E GARDEN DR UNIT B
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:CO
Practice Address - Zip Code:80550-3149
Practice Address - Country:US
Practice Address - Phone:970-833-5686
Practice Address - Fax:970-833-5687
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-05
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0000476235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist