Provider Demographics
NPI:1912488560
Name:BAYLES, CHELSEY KWYNN (MS CCC/SLP)
Entity type:Individual
Prefix:
First Name:CHELSEY
Middle Name:KWYNN
Last Name:BAYLES
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 1:6101 BARNHILL CT
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76016-3740
Mailing Address - Country:US
Mailing Address - Phone:817-723-5402
Mailing Address - Fax:
Practice Address - Street 1:6101 BARNHILL CT
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76016-3740
Practice Address - Country:US
Practice Address - Phone:817-723-5402
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-22
Last Update Date:2018-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX110588235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist