Individual
MS. JODI BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
3400 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20032-1542
(202) 279-4930
Mailing address
218 MISSISSIPPI AVE SE APT 202, WASHINGTON, DC 20032-2459
(845) 239-9292
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
S3991
MS
235Z00000X
Speech-Language Pathologist
Primary
SLP001195
DC
Other
Enumeration date
01/02/2016
Last updated
11/14/2020
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