Individual
BAILEY PHELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., SLP
Contact information
Practice address
2800 18TH ST, PLANO, TX 75074-4603
(469) 752-2460
Mailing address
2801 SILKWOOD CT, PLANO, TX 75074-3132
(469) 826-0577
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
119857
TX
Other
Enumeration date
09/08/2022
Last updated
09/08/2022
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