Provider Demographics
NPI:1316466550
Name:BAILEY, MALAYNA (MS, SLP)
Entity type:Individual
Prefix:
First Name:MALAYNA
Middle Name:
Last Name:BAILEY
Suffix:
Gender:F
Credentials:MS, SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 977
Mailing Address - Street 2:
Mailing Address - City:HURRICANE
Mailing Address - State:WV
Mailing Address - Zip Code:25526-0977
Mailing Address - Country:US
Mailing Address - Phone:681-235-7156
Mailing Address - Fax:800-901-7511
Practice Address - Street 1:1 JOHN MARSHALL DRIVE
Practice Address - Street 2:DEPT OF COMMUNICATION DISORDERS
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25701
Practice Address - Country:US
Practice Address - Phone:304-696-3641
Practice Address - Fax:304-696-2986
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-19
Last Update Date:2018-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV0716235Z00000X
WVSLP-1890235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist