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Bailee Waller is one of 35 speech-language pathologists practicing in Fort Worth, Texas .
Bailee Waller practices with Legacy Healthcare Services Inc.
Registry record (NPPES)
NPI
1467176511
Type
Type 1 · Individual
Primary taxonomy
Speech-Language Pathologist · 235Z00000X
Address on file
2500 N Walnut Creek Dr Mansfield, TX 76063-4287 (919) 424-5080
Enumerated
Oct 3, 2022
Record last updated
Oct 9, 2024
License states listed
TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TXQualified Speech Language Pathologist
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
5417 Altamesa Blvd
Fort Worth , TX 76123
(817) 370-6222
6251 Overton Ridge Blvd
Fort Worth , TX 76132
(817) 945-1586
More speech-language pathologists in Fort Worth
Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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