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NPI Code Detail

MEDICARE: MRS. BAILEY BRANHAM CLAY MS/CCC-SLP

MEDICARE: MRS. BAILEY BRANHAM CLAY MS/CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistSLP-1588WV
2235Z00000XSpeech-Language Pathologist113250TX

General Provider Information

NPI Number : 1235506783
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BAILEY BRANHAM CLAY MS/CCC-SLP
Provider Business Mailing Address
First Line : 3100 SHENANDOAH ST
Second Line :
City : HOUSTON
State : TX
Zip : 77021-1042
Country : US
Telephone Number : 713-523-3633
Fax Number :
Provider Business Practice Location Address
First Line : 3100 SHENANDOAH ST
Second Line :
City : HOUSTON
State : TX
Zip : 77021-1042
Country : US
Telephone Number : 713-523-3633
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2015
Last Update Date : 09/14/2020

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Directions to “ MRS. BAILEY BRANHAM CLAY MS/CCC-SLP” Practice Location

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