Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bailey Koebernick

Individual provider Speech-Language Pathologist · NPI 1174144877

Bailey Koebernick is a Speech-Language Pathologist in Las Vegas, Nevada. Practices as a sole proprietor. Licensed in Alaska, Arizona and Nevada.

Licensed in
AK, AZ, NV
In the registry since
2020
Specialties on file
3

Practice location Address checks out

8856 Brindisi Park Ave
Las Vegas, NV 89148-5901
Phone: (847) 975-8712
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SP-2673 (NV)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 140529 (AK)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence SLP12179 (AZ)

Record details

NPI number1174144877
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 4, 2020
Last updated in NPPESMay 4, 2020
Certification dateMay 4, 2020
Mailing address8856 Brindisi Park Ave, Las Vegas, NV 89148-5901

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