| Organization Name: | KELLIE D. BAILEY CCC-SLP PC |
| NPI Number: | 1699004176 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KELLIE D. BAILEY (SPEECH PATHOLOGIST) |
| Mailing Address: | 3208 Camden Rd Warren |
| State: | ME US |
| Postal Code: | 048644124 |
| Phone Number: | 2075945076 |
| Fax Number: | 2075947339 |
| NPI Enumeration Date: | 12/14/2009 |
| NPI Last Update Date: | 12/14/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SP655 |
| 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 |