Provider Demographics
NPI:1295396208
Name:BAISLEY, HANNAH CALLAWAY (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:CALLAWAY
Last Name:BAISLEY
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:508 RIDGE CT E
Mailing Address - Street 2:
Mailing Address - City:OLD HICKORY
Mailing Address - State:TN
Mailing Address - Zip Code:37138-1209
Mailing Address - Country:US
Mailing Address - Phone:615-715-3755
Mailing Address - Fax:
Practice Address - Street 1:3441 LEBANON PIKE STE 119
Practice Address - Street 2:
Practice Address - City:HERMITAGE
Practice Address - State:TN
Practice Address - Zip Code:37076-2000
Practice Address - Country:US
Practice Address - Phone:615-874-1400
Practice Address - Fax:629-666-3360
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-21
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNSLP5412235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist