Halley Bailey

Individual provider Active NPI Speech-Language Assistant · Moore, OK

NPI 1225554306 · NPPES record last updated Mar 17, 2018

Key facts

NPI
1225554306
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Assistant 2355S0801X
License
3872 (OK)
Practice address
1401 NE 12TH St
Moore, OK 73160-6833
Phone
(405) 735-4200
NPI assigned
Aug 20, 2017
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
3872OKMDSpeech-Language Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 3872 OK Yes

Addresses

Primary practice location

1401 NE 12TH St
Moore, OK 73160-6833

Mailing address

3030 NW Expressway Ste 809
Oklahoma City, OK 73112-5466

Other practice location 1

3030 NW Expressway Ste 809
Oklahoma City, OK 73112-5466
Phone (866) 848-8813

Other providers in Moore, OK

All providers in Moore, OK · Speech-Language Assistant in Oklahoma

Sources for this page

Verify at the official NPI Registry.