Provider Demographics
NPI:1528539228
Name:PLUMLEE, BAYLEY RENEE (MCD)
Entity Type:Individual
Prefix:MRS
First Name:BAYLEY
Middle Name:RENEE
Last Name:PLUMLEE
Suffix:
Gender:F
Credentials:MCD
Other - Prefix:
Other - First Name:BAYLEY
Other - Middle Name:R
Other - Last Name:POLITTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:418 BROWNS BEACH RD
Mailing Address - Street 2:
Mailing Address - City:BULL SHOALS
Mailing Address - State:AR
Mailing Address - Zip Code:72619-2809
Mailing Address - Country:US
Mailing Address - Phone:870-404-9214
Mailing Address - Fax:
Practice Address - Street 1:100 E 9TH ST
Practice Address - Street 2:
Practice Address - City:MOUNTAIN HOME
Practice Address - State:AR
Practice Address - Zip Code:72653-4704
Practice Address - Country:US
Practice Address - Phone:870-404-5870
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-07
Last Update Date:2020-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty