Provider Demographics
NPI:1427727148
Name:BAILEY, TERESA YVETTE (MS,CCC/SLP)
Entity type:Individual
Prefix:
First Name:TERESA
Middle Name:YVETTE
Last Name:BAILEY
Suffix:
Gender:F
Credentials:MS,CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 BACCARA PL
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77384-5000
Mailing Address - Country:US
Mailing Address - Phone:281-468-4286
Mailing Address - Fax:
Practice Address - Street 1:27505 GLEN LOCH DR
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77381-2996
Practice Address - Country:US
Practice Address - Phone:281-298-4952
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-07
Last Update Date:2021-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX24804235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist