Provider Demographics
NPI:1891326328
Name:BAIRD, KELSEY (MS CCC SLP)
Entity Type:Individual
Prefix:
First Name:KELSEY
Middle Name:
Last Name:BAIRD
Suffix:
Gender:F
Credentials:MS CCC SLP
Other - Prefix:
Other - First Name:KELSEY
Other - Middle Name:
Other - Last Name:THOM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CF SLP
Mailing Address - Street 1:417 ABBEY CIR
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:MD
Mailing Address - Zip Code:21009-1578
Mailing Address - Country:US
Mailing Address - Phone:443-752-6099
Mailing Address - Fax:
Practice Address - Street 1:417 ABBEY CIR
Practice Address - Street 2:
Practice Address - City:ABINGDON
Practice Address - State:MD
Practice Address - Zip Code:21009-1578
Practice Address - Country:US
Practice Address - Phone:443-752-6099
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-03
Last Update Date:2021-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD09408235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty