Provider Demographics
NPI:1376934877
Name:BAILEY, NANCY HAMM (MS, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:HAMM
Last Name:BAILEY
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4916 INVERNESS DR
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75703-2604
Mailing Address - Country:US
Mailing Address - Phone:903-520-2569
Mailing Address - Fax:903-939-1332
Practice Address - Street 1:4916 INVERNESS DR
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75703-2604
Practice Address - Country:US
Practice Address - Phone:903-520-2569
Practice Address - Fax:903-939-1332
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-05
Last Update Date:2015-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15988235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist