Provider Demographics
NPI:1598761868
Name:BAYER, KATE (MA, CCC/A)
Entity Type:Individual
Prefix:
First Name:KATE
Middle Name:
Last Name:BAYER
Suffix:
Gender:F
Credentials:MA, CCC/A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:666 S 4TH ST
Mailing Address - Street 2:
Mailing Address - City:SHARPSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16150-1702
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2593 WEXFORD BAYNE RD
Practice Address - Street 2:SUITE 105
Practice Address - City:SEWICKLEY
Practice Address - State:PA
Practice Address - Zip Code:15143-8608
Practice Address - Country:US
Practice Address - Phone:724-759-7109
Practice Address - Fax:724-759-7111
Is Sole Proprietor?:No
Enumeration Date:2005-06-22
Last Update Date:2010-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCA2005113231H00000X
OHA01559237600000X
PAAT006085231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000187448OtherUNISON
OH11524350OtherCAQH
OH$$$$$$$$$OtherMEDICAL MUTUAL