MEDICARE: BAILEY TOTH-RILEY

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
1	235Z00000X	Speech-Language Pathologist	14342930	WI

General Provider Information

NPI Number	:	1659263598
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BAILEY TOTH-RILEY

Provider Business Mailing Address
First Line	:	2926 N 77TH ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53222-5016
Country	:	US
Telephone Number	:	414-241-7968
Fax Number	:

Provider Business Practice Location Address
First Line	:	2926 N 77TH ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53222-5016
Country	:	US
Telephone Number	:	414-241-7968
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/16/2025
Last Update Date	:	07/16/2025

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Directions to “ BAILEY TOTH-RILEY ” Practice Location

Language	Start Address	Practice Location

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