MEDICARE: BAILEY W UMENHOFER 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	SL017533	PA

General Provider Information

NPI Number	:	1386311744
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BAILEY W UMENHOFER SLP

Provider Business Mailing Address
First Line	:	311 LANDAN DR
Second Line	:
City	:	ROSTRAVER TWP
State	:	PA
Zip	:	15012-9414
Country	:	US
Telephone Number	:	412-862-5399
Fax Number	:

Provider Business Practice Location Address
First Line	:	2112 N FRANKLIN DR STE 4-5
Second Line	:
City	:	WASHINGTON
State	:	PA
Zip	:	15301-5874
Country	:	US
Telephone Number	:	724-705-7050
Fax Number	:

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

Provider Enumeration Date	:	08/24/2021
Last Update Date	:	03/26/2026

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Directions to “ BAILEY W UMENHOFER SLP” Practice Location

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