Provider Demographics
NPI:1942865787
Name:BAUGHMAN, HAYLIE ALEXIS (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:HAYLIE
Middle Name:ALEXIS
Last Name:BAUGHMAN
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4913 CANTERBURY RD
Mailing Address - Street 2:
Mailing Address - City:ROELAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66205-1620
Mailing Address - Country:US
Mailing Address - Phone:620-605-9933
Mailing Address - Fax:
Practice Address - Street 1:12500 W 137TH ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66221-4183
Practice Address - Country:US
Practice Address - Phone:913-730-3700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-07
Last Update Date:2019-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS4351235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist