Alycia Bauch, MS, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Calhoun, GA
NPI 1942435201 · NPPES record last updated Nov 11, 2020
Key facts
- NPI
- 1942435201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SLP008164 (GA)
- Practice address
- 365 S Industrial Blvd
Calhoun, GA 30701-3075 - Phone
- (706) 624-3000
- Fax
- (706) 624-3001
- NPI assigned
- May 15, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP008164 | GA | MD | Speech-Language Pathologist |
| 41YS00403400 | NJ | MD | Speech-Language Pathologist |
| SL007286 | PA | MD | Speech-Language Pathologist |
| 6092 | SC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advance Rehabilitation for Kids of Gordon County, Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 41YS00403400 | NJ | |
| Speech-Language Pathologist | 235Z00000X | SL007286 | PA | |
| Speech-Language Pathologist | 235Z00000X | 6092 | SC | |
| Speech-Language Pathologist | 235Z00000X | SLP008164 | GA | Yes |
Addresses
Primary practice location
365 S Industrial Blvd
Calhoun, GA 30701-3075
Mailing address
365 S Industrial Blvd
Calhoun, GA 30701-3075
Phone (706) 624-3000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SA1815 | Medicaid | SC |
Other names
- Alycia Bauch Whitney
Other providers in Calhoun, GA
- Balanced Mind Wellness LLC
- Pablo E Balboa-Marciack
- Julie Christine Balthaser
- Daniel Malcolm Barfield
- Amanda Michelle Bartley
- Beautiful Smiles by Design
- Catherine A. Becker-Prather
- Benchmark Healthcare Services LLC
- Kyle Trott Benge
- Ira Bennett
All providers in Calhoun, GA · Speech-Language Pathologist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 11, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.