Provider Demographics
NPI:1104031087
Name:BAYER, GAIL (CCC SP)
Entity type:Individual
Prefix:MRS
First Name:GAIL
Middle Name:
Last Name:BAYER
Suffix:
Gender:F
Credentials:CCC SP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:452 ROUND HILL RD
Mailing Address - Street 2:
Mailing Address - City:ROSLYN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11577-1423
Mailing Address - Country:US
Mailing Address - Phone:516-621-2786
Mailing Address - Fax:
Practice Address - Street 1:452 ROUND HILL RD
Practice Address - Street 2:
Practice Address - City:ROSLYN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11577-1423
Practice Address - Country:US
Practice Address - Phone:516-621-2786
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001917-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist