Doctor Name: | SHANA M. BAILEY |
NPI Number: | 1013320399 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | LL60473358 |
Business Practice Address: | 325 S University Rd Spokane Valley, WA - 992066164 |
Business Phone Number: | 5099219798 |
Business Fax Number: | 5099219774 |
Mailing Address: | 325 S University Rd, SPOKANE VALLEY |
State: | WA |
Postal Code: | 992066164 |
Phone Number: | 5099219798 |
Fax Number: | 5099219774 |
NPI Enumeration Date: | 06/04/2014 |
NPI Last Update Date: | 06/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | LL60473358 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |