Individual
MRS. KELLIE D BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC SLP
Contact information
Practice address
3208 CAMDEN RD, WARREN, ME 04864
(207) 594-5076
(207) 594-7339
Mailing address
3208 CAMDEN RD, WARREN, ME 04864
(207) 594-5076
(207) 594-7339
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP655
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
098806
ANTHEM BCBS
ME
Enumeration date
04/16/2007
Last updated
07/08/2007
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