Provider Demographics
NPI:1790597797
Name:BAYLY, ARIN
Entity type:Individual
Prefix:
First Name:ARIN
Middle Name:
Last Name:BAYLY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:622 N 2ND ST
Mailing Address - Street 2:
Mailing Address - City:COUNCIL BLUFFS
Mailing Address - State:IA
Mailing Address - Zip Code:51503-3009
Mailing Address - Country:US
Mailing Address - Phone:402-314-5673
Mailing Address - Fax:
Practice Address - Street 1:208 KANSAS ST
Practice Address - Street 2:
Practice Address - City:MURDOCK
Practice Address - State:NE
Practice Address - Zip Code:68407-5044
Practice Address - Country:US
Practice Address - Phone:402-366-7540
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-25
Last Update Date:2025-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235500000XSpeech, Language and Hearing Service ProvidersSpecialist/Technologist