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NPI Code Detail

MEDICARE: MRS. ALESHA RAE BAILEY CCC-SLP

MEDICARE: MRS. ALESHA RAE 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 Pathologist5035MS

General Provider Information

NPI Number : 1518731850
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ALESHA RAE BAILEY CCC-SLP
Provider Business Mailing Address
First Line : 22011 NORTHVIEW DR
Second Line :
City : MOSS POINT
State : MS
Zip : 39562-6842
Country : US
Telephone Number : 601-678-9001
Fax Number :
Provider Business Practice Location Address
First Line : 4214 BIENVILLE BLVD
Second Line :
City : OCEAN SPRINGS
State : MS
Zip : 39564-5975
Country : US
Telephone Number : 228-218-3362
Fax Number : 228-366-9062
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2023
Last Update Date : 11/07/2023

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Directions to “ MRS. ALESHA RAE BAILEY CCC-SLP” Practice Location

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