Provider Demographics
NPI:1760106041
Name:BAILEY, HANNAH FRANCIS (MA, CCC-SLP)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:FRANCIS
Last Name:BAILEY
Suffix:
Gender:
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 1:1305 ALTUDA DR
Mailing Address - Street 2:
Mailing Address - City:FORNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75126-3870
Mailing Address - Country:US
Mailing Address - Phone:318-312-1452
Mailing Address - Fax:
Practice Address - Street 1:9800 HARBOUR PL STE 205
Practice Address - Street 2:
Practice Address - City:MUKILTEO
Practice Address - State:WA
Practice Address - Zip Code:98275-4749
Practice Address - Country:US
Practice Address - Phone:888-275-6578
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-29
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA8360235Z00000X
TX122158235Z00000X
TN7767235Z00000X
WA61636120235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist