Doctor Name: | MR. BAILEY VENKATRAMAN LEVIS |
NPI Number: | 1467793232 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MS, SLP |
License Number: | 20591 |
Business Practice Address: | 3150 18th St San Francisco, CA - 941102074 |
Business Phone Number: | 4154966757 |
Business Fax Number: | |
Mailing Address: | Po Box 318003, SAN FRANCISCO |
State: | CA |
Postal Code: | 941318003 |
Phone Number: | 4154966757 |
Fax Number: | |
NPI Enumeration Date: | 03/04/2013 |
NPI Last Update Date: | 03/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 20591 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |