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NPI Code Detail

MEDICARE: MS. HANNAH ELIZABETH BAILEY M.S.

MEDICARE: MS. HANNAH ELIZABETH BAILEY M.S.
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-SP-LIC-7395MT
2235Z00000XSpeech-Language Pathologist1600ND

General Provider Information

NPI Number : 1407379597
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. HANNAH ELIZABETH BAILEY M.S.
Provider Business Mailing Address
First Line : 532 COOPER RD
Second Line :
City : SOCIAL CIRCLE
State : GA
Zip : 30025-5189
Country : US
Telephone Number : 404-374-0860
Fax Number :
Provider Business Practice Location Address
First Line : 1515 2ND AVE W
Second Line :
City : WILLISTON
State : ND
Zip : 58801-4108
Country : US
Telephone Number : 701-572-6766
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2017
Last Update Date : 12/12/2018

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