NPI 1770949042 · live from the CMS NPI Registry
Jodi Bailey, MA, CCC-SLP
Speech-Language Pathologist, in Washington, DC. National Provider Identifier 1770949042, active.
NPI record
| NPI | 1770949042 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 3400 Martin Luther King Jr Ave Se, Washington, DC 20032 |
| Practice phone | 202-279-4930 |
| Mailing address | 218 Mississippi Ave Se Apt 202, Washington, DC 20032 |
| Enumerated | January 2, 2016 |
| Last updated | November 14, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, | 235Z00000X | S3991 (MS) |
| Speech-Language Pathologist, primary | 235Z00000X | SLP001195 (DC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.