Individual
TIFFANY E GENTRY-BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2401 S KANAWHA ST STE 104, BECKLEY, WV 25801-6967
(304) 255-4314
Mailing address
2401 S KANAWHA ST STE 104, BECKLEY, WV 25801-6967
(304) 255-4314
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
WVSLP-1153
WV
Other
Enumeration date
07/03/2024
Last updated
12/09/2024
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