Provider Demographics
NPI:1730795451
Name:BOATRIGHT, BAILEY (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:BAILEY
Middle Name:
Last Name:BOATRIGHT
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:BAILEY
Other - Middle Name:
Other - Last Name:PEARSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CF-SLP
Mailing Address - Street 1:3302 N DIXIELAND RD APT L8
Mailing Address - Street 2:
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72756-6856
Mailing Address - Country:US
Mailing Address - Phone:870-350-2750
Mailing Address - Fax:
Practice Address - Street 1:500 8TH AVE SE
Practice Address - Street 2:
Practice Address - City:GRAVETTE
Practice Address - State:AR
Practice Address - Zip Code:72736-8742
Practice Address - Country:US
Practice Address - Phone:479-787-4140
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-17
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR201079235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist