Provider Demographics
NPI:1790424596
Name:ANDERSON, BAILEYANN N/A (MS, CF-SLP)
Entity Type:Individual
Prefix:
First Name:BAILEYANN
Middle Name:N/A
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:MS, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 S CARR ST
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80226-1365
Mailing Address - Country:US
Mailing Address - Phone:720-656-1902
Mailing Address - Fax:
Practice Address - Street 1:14280 E JEWELL AVE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-7938
Practice Address - Country:US
Practice Address - Phone:303-360-6600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-31
Last Update Date:2022-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist