Provider Demographics
NPI:1104210400
Name:BAILEY-TORRES, REBECCA (MED, MS)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:BAILEY-TORRES
Suffix:
Gender:F
Credentials:MED, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9457 LONG RIVER DR
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89506-4561
Mailing Address - Country:US
Mailing Address - Phone:775-224-4164
Mailing Address - Fax:
Practice Address - Street 1:9457 LONG RIVER DR
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89506-4561
Practice Address - Country:US
Practice Address - Phone:775-224-4164
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-24
Last Update Date:2015-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVSP-684235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist