Provider Demographics
NPI:1639989783
Name:LYMAN, BAILEY (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:BAILEY
Middle Name:
Last Name:LYMAN
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:219 WOODLAWN AVE
Mailing Address - Street 2:
Mailing Address - City:MURRAY
Mailing Address - State:KY
Mailing Address - Zip Code:42071-2329
Mailing Address - Country:US
Mailing Address - Phone:270-627-6078
Mailing Address - Fax:
Practice Address - Street 1:219 WOODLAWN AVE
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:KY
Practice Address - Zip Code:42071-2329
Practice Address - Country:US
Practice Address - Phone:270-627-6078
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-10
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY293375235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist