NPI 1609199082 · live from the CMS NPI Registry
Kelly Langan Bailey, MS.SLP/CCC, MA. BCBA
Speech-Language Pathologist, in Mt Pleasant, SC. National Provider Identifier 1609199082, active.
NPI record
| NPI | 1609199082 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 1123 Queensborough Blvd Ste 102, Mt Pleasant, SC 29464 |
| Practice phone | 843-352-7049 |
| Mailing address | Po Box 51322, Bowling Green, KY 42102 |
| Enumerated | March 12, 2010 |
| Last updated | February 18, 2016 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 5642 (SC) |
| Behavior Analyst | 103K00000X | 1-12-10059 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.