Organization
BAILEY SPEECH AND LANGUAGE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BEVERLY BAILEY M.S. CCC-SLP (OWNER)
(770) 995-2378
Entity
Organization
Contact information
Practice address
735 LONGLEAF BLVD, SUITE A, LAWRENCEVILLE, GA 30045-8443
(770) 995-2378
(678) 377-9272
Mailing address
306 S. PERRY ST., LAWRENCEVILLE, GA 30046
(770) 995-2378
(678) 377-9272
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SLP000631
GA
235Z00000X
Speech-Language Pathologist
Primary
SLP000710
GA
235Z00000X
Speech-Language Pathologist
SLP001643
GA
235Z00000X
Speech-Language Pathologist
SLP003258
GA
235Z00000X
Speech-Language Pathologist
SLP004594
GA
235Z00000X
Speech-Language Pathologist
SLP004673
GA
235Z00000X
Speech-Language Pathologist
SLP005405
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000584427B
—
GA
05
—
000584471B
—
GA
05
—
000587386B
—
GA
05
—
000666135B
—
GA
05
—
000831773A
—
GA
05
—
00902745B
—
GA
05
—
00970901A
—
GA
Enumeration date
08/25/2005
Last updated
01/11/2011
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