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NPI Code Detail

MEDICARE: ANN BAILEY CCC-SLP

MEDICARE: ANN BAILEY 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 Pathologist4700MA

General Provider Information

NPI Number : 1336359611
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANN BAILEY CCC-SLP
Provider Business Mailing Address
First Line : 179 HILL ST
Second Line :
City : CONCORD
State : MA
Zip : 01742-2820
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 80 DEACONESS RD
Second Line :
City : CONCORD
State : MA
Zip : 01742-4113
Country : US
Telephone Number : 978-369-5151
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2007
Last Update Date : 07/08/2007

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Directions to “ ANN BAILEY CCC-SLP” Practice Location

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