Bayless, Teresa

Bayless, Teresa is an individual health care provider with primary practice located at 202 W Park Ave , Valdosta GA 31602-2507. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Bayless, Teresa can be contacted via phone (229) 253-8500.

Contact Information

Primary practice address
202 W Park Ave Valdosta GA 31602-2507
Phone: (229) 253-8500
Fax: (229) 253-8522
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 002047 Georgia

Profile Details

NPI number 1700930443
LBN Legal business name Bayless, Teresa
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Apr 6th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700930443 NPPES
Georgia Other 581921576 FTIN
Georgia MEDICAID 000802447A FTIN
Georgia Other 52446988 FTIN

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