Individual
MS. MANDY KAY BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
106 REINE ST N, MENA, AR 71953-2254
(501) 337-6756
Mailing address
PO BOX 323, MENA, AR 71953-0323
(501) 337-6756
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
AR #1502
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140893721
—
AR
Enumeration date
10/04/2010
Last updated
06/18/2024
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