Individual
DIANDRA BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
3315 FAITH CHURCH RD, INDIAN TRAIL, NC 28079-9300
(704) 882-3420
Mailing address
5642 VIA ROMANO DR APT F, CHARLOTTE, NC 28270-6939
(864) 407-2793
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11103
NC
235Z00000X
Speech-Language Pathologist
5319
SC
Other
Enumeration date
01/27/2014
Last updated
11/10/2021
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