Provider Demographics
NPI:1396846549
Name:BAYLIS, ADRIANE LYNN (PHD,, SLP)
Entity Type:Individual
Prefix:
First Name:ADRIANE
Middle Name:LYNN
Last Name:BAYLIS
Suffix:
Gender:F
Credentials:PHD,, SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 CHILDRENS DR
Mailing Address - Street 2:DEPARTMENT OF PLASTIC SURGERY/NATIONWIDE CHILDREN'S
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43205-2664
Mailing Address - Country:US
Mailing Address - Phone:614-722-3895
Mailing Address - Fax:
Practice Address - Street 1:700 CHILDRENS DR
Practice Address - Street 2:DEPARTMENT OF PLASTIC SURGERY/NATIONWIDE CHILDREN'S
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43205-2664
Practice Address - Country:US
Practice Address - Phone:614-722-3895
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2011-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2999-154235Z00000X
OH9804235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist