Mandy Kay Bailey, MS, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Mena, AR
NPI 1891004115 · NPPES record last updated Jun 18, 2024
Key facts
- NPI
- 1891004115
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- AR #1502 (AR)
- Practice address
- 106 Reine St N
Mena, AR 71953-2254 - Phone
- (501) 337-6756
- NPI assigned
- Oct 4, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AR #1502 | AR | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | AR #1502 | AR | Yes |
Addresses
Primary practice location
106 Reine St N
Mena, AR 71953-2254
Mailing address
PO Box 323
Mena, AR 71953-0323
Phone (501) 337-6756
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 140893721 | Medicaid | AR |
Other providers in Mena, AR
- Sandra Sue Armstrong
- Sue Asher
- Joyce Atchley
- Stacee Nicole Bacon
- Kelli Bahena
- Jonathan Edwin Barham
- Terri Lynn Barrada
- Olivia Bayne
- Ronald William Beckel Jr.
- Bill J Bell
All providers in Mena, AR · Speech-Language Pathologist in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2024. 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.