Provider Demographics
NPI:1942042833
Name:BAILEY, JULIA ANN (SLP)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:ANN
Last Name:BAILEY
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 W TAZEWELL ST APT PH07
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23510-1803
Mailing Address - Country:US
Mailing Address - Phone:757-334-8757
Mailing Address - Fax:
Practice Address - Street 1:7025 HARBOR VIEW BLVD STE 108B
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23435-2764
Practice Address - Country:US
Practice Address - Phone:757-974-8282
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-11
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist