MEDICARE: ECHO SPEECH THERAPY LLC

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

General Provider Information

NPI Number	:	1073440053
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ECHO SPEECH THERAPY LLC

Provider Business Mailing Address
First Line	:	128 STAMFORD PARK DR
Second Line	:
City	:	HUNTINGTON
State	:	WV
Zip	:	25705-3861
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	128 STAMFORD PARK DR
Second Line	:
City	:	HUNTINGTON
State	:	WV
Zip	:	25705-3861
Country	:	US
Telephone Number	:	304-541-1416
Fax Number	:

Authorized Official
Title or Position	:	SPEECH-LANGUAGE PATHOLOGIST
Name	:	MALAYNA BAILEY
Credential	:	MS, CCC-SLP
Telephone Number	:	304-541-1416

Provider Enumeration Date	:	05/05/2026
Last Update Date	:	05/05/2026

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Directions to “ECHO SPEECH THERAPY LLC ” Practice Location

Language	Start Address	Practice Location

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