Bailey Anderson, SLP
Individual provider Active NPI Speech-Language Pathologist · Bloomer, WI
NPI 1821661588 · NPPES record last updated Jul 26, 2021
Key facts
- NPI
- 1821661588
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 5305 (WI)
- Practice address
- 1731 17TH Ave
Bloomer, WI 54724-1512 - Phone
- (715) 568-4669
- NPI assigned
- Jul 21, 2021
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 5305 | WI | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 5305 | WI | Yes |
Addresses
Primary practice location
1731 17TH Ave
Bloomer, WI 54724-1512
Mailing address
1731 17TH Ave
Bloomer, WI 54724-1512
Other names
- Bailey Miller
Other providers in Bloomer, WI
- 1840 Priddy Street Operating Company, LLC
- Active Chiropractic LLC
- Kaitlyn Alberson
- Heidi Barthels
- Jamee L Becker
- Heidi Beekman
- Breanna Bennett
- Meggan Bixby
All providers in Bloomer, WI · Speech-Language Pathologist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 26, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.