Individual
MS. PAULINE GLORIA BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA FAAA
Contact information
Practice address
104 NEWFIELD DRIVE, STAMFORD, CT 06905
(203) 322-2942
(203) 329-2449
Mailing address
104 NEWFIELD DRIVE, STAMFORD, CT 06905
(203) 322-2942
(203) 329-2449
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
000047
CT
231HA2400X
Assistive Technology Practitioner Audiologist
000047
CT
231HA2500X
Assistive Technology Supplier Audiologist
000047
CT
237600000X
Audiologist-Hearing Aid Fitter
00047
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004050175
—
CT
01
—
004050183
DME
CT
Enumeration date
11/28/2006
Last updated
05/15/2008
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