Provider Demographics
NPI:1619543444
Name:ENGELHARDT, BAYLEE MARIE (AUD)
Entity Type:Individual
Prefix:DR
First Name:BAYLEE
Middle Name:MARIE
Last Name:ENGELHARDT
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:BAYLEE
Other - Middle Name:MARIE
Other - Last Name:WILSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1139 FIRST COLONIAL RD
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23454-2402
Mailing Address - Country:US
Mailing Address - Phone:757-453-1160
Mailing Address - Fax:757-453-1191
Practice Address - Street 1:1139 FIRST COLONIAL RD
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23454-2402
Practice Address - Country:US
Practice Address - Phone:757-453-1160
Practice Address - Fax:757-453-1191
Is Sole Proprietor?:No
Enumeration Date:2021-06-02
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter