Individual
BAILIE EILIS HERCHOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., CCC-SLP
Contact information
Practice address
10983 E KORA LN, SCOTTSDALE, AZ 85255-8868
(602) 568-8260
Mailing address
10983 E KORA LN, SCOTTSDALE, AZ 85255-8868
(602) 568-8260
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA7204
AZ
235Z00000X
Speech-Language Pathologist
Primary
SLP7404
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770875627
—
AZ
Enumeration date
05/11/2011
Last updated
08/07/2026
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