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MACKENZY BAILEY MA CCC SLP

>> Speech-Language Pathologist >> Speech, Language and Hearing Service Providers

Registrant NPI Number: 1710341805

Individual Registrant:
 MACKENZY  BAILEY MA CCC SLP
Gender: F
Sole Proprietor

Location and contact information for practice:
191 BURTON MESA BLVD STE B LOMPOC, CA 93436-1400 US
Tel: 805-733-4542  Fax: 805-733-4392

Contact information for business:
191 BURTON MESA BLVD STE B LOMPOC, CA 93436-1400 US
Tel: 805-733-4542  Fax: 805-733-4392

Registration Information:
NPI: 1710341805
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
CASP23436

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
GSP00390CA05




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