Provider Demographics
NPI:1093374969
Name:AKSLAND, BAILEY R (AUD, CCC-A)
Entity type:Individual
Prefix:
First Name:BAILEY
Middle Name:R
Last Name:AKSLAND
Suffix:
Gender:F
Credentials:AUD, CCC-A
Other - Prefix:
Other - First Name:BAILEY
Other - Middle Name:
Other - Last Name:TATGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD, CCC-A
Mailing Address - Street 1:PO BOX 9007
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22906-9007
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:415 RAY C HUNT DR STE 2200
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22903-2980
Practice Address - Country:US
Practice Address - Phone:434-924-2050
Practice Address - Fax:434-243-5207
Is Sole Proprietor?:No
Enumeration Date:2019-06-13
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2201001737231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist