Doctor Name: | BAILYE MOYE |
NPI Number: | 1144571803 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLPA |
License Number: | 12-0124 |
Business Practice Address: | 1701 W Court St Paragould, AR - 724504048 |
Business Phone Number: | 8702393885 |
Business Fax Number: | |
Mailing Address: | 1701 W Court St, PARAGOULD |
State: | AR |
Postal Code: | 724504048 |
Phone Number: | 8702393885 |
Fax Number: | |
NPI Enumeration Date: | 09/20/2012 |
NPI Last Update Date: | 08/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2355S0801X |
License Number: | 12-0124 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Specialist/Technologist |
Taxonomy Specialization: | Speech-Language Assistant |
Taxonomy Definition: |