Provider Demographics
NPI:1578134821
Name:BAER, KAYLEE E (MS CCC-SLP)
Entity type:Individual
Prefix:
First Name:KAYLEE
Middle Name:E
Last Name:BAER
Suffix:
Gender:
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 PINE AVE N
Mailing Address - Street 2:
Mailing Address - City:OLDSMAR
Mailing Address - State:FL
Mailing Address - Zip Code:34677-4621
Mailing Address - Country:US
Mailing Address - Phone:813-891-0785
Mailing Address - Fax:
Practice Address - Street 1:301 PINE AVE N
Practice Address - Street 2:
Practice Address - City:OLDSMAR
Practice Address - State:FL
Practice Address - Zip Code:34677-4621
Practice Address - Country:US
Practice Address - Phone:813-891-0785
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-08
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSZ10071235Z00000X
FLSA21306235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist