Individual
CORINNE B BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
75 W COMMERCIAL ST STE 205, PORTLAND, ME 04101
(207) 874-1065
(207) 874-1068
Mailing address
75 W COMMERCIAL ST STE 205, PORTLAND, ME 04101-4799
(207) 874-1065
(207) 874-1068
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1717
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP1717
STATE OF MAINE
ME
Enumeration date
01/22/2010
Last updated
11/29/2018
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