Individual ProviderHaley Ryan BezoldSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address2765 Chapel Pl, Crestview Hills, KY 41017-3413(859) 344-5390PECOS EnrollmentBased on the most recent information from CMS, provider Haley Ryan Bezold does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1063071322Provider TypeIndividualFull NameBezold, Haley RyanGenderFemaleSole ProprietorNoEnumeration Date6/11/2019Last Updated2/11/2026Contact InformationPractice LocationPractice Address2765 Chapel Pl, Crestview Hills, KY 41017-3413Phone(859) 344-5390FaxUnlisted FaxMailing LocationMailing Address2765 Chapel Pl, Crestview Hills, KY 41017-3413Phone(859) 344-5390FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense271348Kentucky