Provider Demographics
NPI:1134858152
Name:HASLER, BAILEY (CF-SLP)
Entity type:Individual
Prefix:
First Name:BAILEY
Middle Name:
Last Name:HASLER
Suffix:
Gender:F
Credentials:CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 BLACK LAKE BLVD SW APT 53
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98502-5030
Mailing Address - Country:US
Mailing Address - Phone:812-699-1009
Mailing Address - Fax:
Practice Address - Street 1:4301 6TH AVE NE
Practice Address - Street 2:
Practice Address - City:LACEY
Practice Address - State:WA
Practice Address - Zip Code:98516-5309
Practice Address - Country:US
Practice Address - Phone:360-412-4760
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-06
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
INSLPI.SI.61188650235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist