Individual
KAILEY PAIGE BASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
201 S MAIN ST, BIXBY, OK 74008-4503
(918) 366-2281
Mailing address
13442 S 65TH EAST PL, BIXBY, OK 74008-3848
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/16/2017
Last updated
07/12/2021
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