Provider Demographics
NPI:1548749369
Name:VAN HORN, BAILEY ADELL (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:BAILEY
Middle Name:ADELL
Last Name:VAN HORN
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 1:420 CRESCENT DR
Mailing Address - Street 2:
Mailing Address - City:CRESCENT
Mailing Address - State:IA
Mailing Address - Zip Code:51526-3607
Mailing Address - Country:US
Mailing Address - Phone:402-885-9429
Mailing Address - Fax:
Practice Address - Street 1:420 CRESCENT DR
Practice Address - Street 2:
Practice Address - City:CRESCENT
Practice Address - State:IA
Practice Address - Zip Code:51526-3607
Practice Address - Country:US
Practice Address - Phone:402-885-9429
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-13
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA009705235Z00000X
NE2481235Z00000X, 235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist