Doctor Name: | DALLIN JOHN BAILEY |
NPI Number: | 1487093761 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.S. |
License Number: | |
Business Practice Address: | 707 Wymount Ter Provo, UT - 846042047 |
Business Phone Number: | 8014004286 |
Business Fax Number: | |
Mailing Address: | 707 Wymount Ter, PROVO |
State: | UT |
Postal Code: | 846042047 |
Phone Number: | 8014004286 |
Fax Number: | |
NPI Enumeration Date: | 06/19/2013 |
NPI Last Update Date: | 06/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |