Healthcare Provider Details

I. General information

NPI: 1780517805
Provider Name (Legal Business Name): BAYLOR SIMPSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2614 JEFFERSON HWY
JEFFERSON LA
70121-3828
US

IV. Provider business mailing address

40145 TAYLORS TRL APT 400
SLIDELL LA
70461-5392
US

V. Phone/Fax

Practice location:
  • Phone: 985-607-5059
  • Fax:
Mailing address:
  • Phone: 985-607-5059
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number9829
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: