Individual
MS. BEVERLY S. BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
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
11/22/2006
Last updated
07/08/2007
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