Bailee Elizabeth Harrell, MED CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Hahira, GA
NPI 1962004499 · NPPES record last updated Nov 10, 2020
Key facts
- NPI
- 1962004499
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SLP010927 (GA)
- Practice address
- 4808 Springbrook Dr
Hahira, GA 31632-3102 - Phone
- (229) 292-1945
- Fax
- (229) 474-4485
- NPI assigned
- Nov 10, 2020
- 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)
- Yes
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP010927 | GA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP010927 | GA | Yes |
Addresses
Primary practice location
4808 Springbrook Dr
Hahira, GA 31632-3102
Mailing address
4808 Springbrook Dr
Hahira, GA 31632-3102
Phone (229) 292-1945
Other providers in Hahira, GA
- Jennessee Elizabeth Graham
- Kimberly Graham
- Ashley Greene
- Rebecca Haas
- Stephanie Hall
- Kenyetta Tremese Hayes
- Headspace Mental Wellness Club LLC
- Kristal Olivia Henley
- Benjamin Briggs Hightower
- Keisha J Hilliard
All providers in Hahira, GA · Speech-Language Pathologist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2020. 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.