Doctor Name: | MRS. ELIZABETH GOODMAN BAILEY |
NPI Number: | 1093959678 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, CCC-SLP |
License Number: | 102205 |
Business Practice Address: | 15901 Central Commerce Dr Suite 301 Pflugerville, TX - 786602041 |
Business Phone Number: | 5122517775 |
Business Fax Number: | |
Mailing Address: | 2601 La Frontera Blvd, 1403 ROUND ROCK |
State: | TX |
Postal Code: | 786818033 |
Phone Number: | 5128977097 |
Fax Number: | |
NPI Enumeration Date: | 04/27/2009 |
NPI Last Update Date: | 09/14/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 102205 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
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 |