Provider Demographics
NPI:1891681169
Name:SMITH, BAILEY RIANN
Entity type:Individual
Prefix:MISS
First Name:BAILEY
Middle Name:RIANN
Last Name:SMITH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7282 CROSSWATER STE 100
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75703-0659
Mailing Address - Country:US
Mailing Address - Phone:903-871-5712
Mailing Address - Fax:903-309-1035
Practice Address - Street 1:7282 CROSSWATER STE 100
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75703-0659
Practice Address - Country:US
Practice Address - Phone:903-871-5712
Practice Address - Fax:903-309-1035
Is Sole Proprietor?:No
Enumeration Date:2025-06-14
Last Update Date:2025-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX123776235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist