Provider Demographics
NPI:1982464384
Name:MANNS, BAYLI (HIS)
Entity type:Individual
Prefix:
First Name:BAYLI
Middle Name:
Last Name:MANNS
Suffix:
Gender:F
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:199 ELMER ST
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:WV
Mailing Address - Zip Code:24740-2346
Mailing Address - Country:US
Mailing Address - Phone:304-487-1608
Mailing Address - Fax:304-521-4365
Practice Address - Street 1:199 ELMER ST
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:WV
Practice Address - Zip Code:24740-2346
Practice Address - Country:US
Practice Address - Phone:304-487-1608
Practice Address - Fax:304-521-4365
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-21
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV1125237700000X
NC1657237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty