Healthcare Provider Details

I. General information

NPI: 1912278763
Provider Name (Legal Business Name): LAYLA BAKER STRANGE M.E.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/24/2012
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1556 E FORSYTH ST
AMERICUS GA
31709-3333
US

IV. Provider business mailing address

257 EDGEWOOD DR
AMERICUS GA
31709-4882
US

V. Phone/Fax

Practice location:
  • Phone: 229-522-0812
  • Fax:
Mailing address:
  • Phone: 229-522-0812
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSZ5410
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: