MEDICARE: PAYTON BAILEY SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	201973	AR

General Provider Information

NPI Number	:	1558115352
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAYTON BAILEY SLP

Provider Business Mailing Address
First Line	:	685 SHELBY TRL
Second Line	:
City	:	CONWAY
State	:	AR
Zip	:	72034-7167
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	685 SHELBY TRL
Second Line	:
City	:	CONWAY
State	:	AR
Zip	:	72034-7167
Country	:	US
Telephone Number	:	501-358-6868
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/16/2024
Last Update Date	:	02/10/2026

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Directions to “ PAYTON BAILEY SLP” Practice Location

Language	Start Address	Practice Location

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