Doctor Name: | MR. DALE BAILEY |
NPI Number: | 1629382239 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | SP910 |
Business Practice Address: | 108 Pleasant St Fort Kent, ME - 047431576 |
Business Phone Number: | 2078343484 |
Business Fax Number: | 2078347357 |
Mailing Address: | 108 Pleasant St, FORT KENT |
State: | ME |
Postal Code: | 047431576 |
Phone Number: | 2078343484 |
Fax Number: | 2078347357 |
NPI Enumeration Date: | 08/06/2010 |
NPI Last Update Date: | 08/06/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP910 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
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 |