Individual
BAILIE SIDHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
5937 COVE RD, ROANOKE, VA 24019-2403
(540) 562-3900
Mailing address
4918 WARRIOR DR, SALEM, VA 24153-5814
(865) 643-1294
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2204000533
VIRGINIA BOARD OF AUDIOLOGY AND SPEECH PATHOLOGY
VA
Enumeration date
08/11/2020
Last updated
02/17/2026
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