Organization
BAILEY SPEECH AND LANGUAGE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BEVERLY S. BAILEY M.S. (OWNER, SPEECH-LANGUAGE PATHOLOGIST)
(770) 995-2378
Entity
Organization
Contact information
Practice address
735 LONGLEAF BLVD, SUITE A, LAWRENCEVILLE, GA 30045-8460
(770) 995-2378
(678) 377-9272
Mailing address
735 LONGLEAF BLVD, SUITE A, LAWRENCEVILLE, GA 30045-8460
(770) 995-2378
(678) 377-9272
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP000710
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00584471B
—
GA
Enumeration date
11/24/2006
Last updated
03/16/2009
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