Provider Demographics
NPI:1063140606
Name:DAILEY, NE'SHA G
Entity type:Individual
Prefix:
First Name:NE'SHA
Middle Name:G
Last Name:DAILEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:137 HIGHWAY 109 S
Mailing Address - Street 2:
Mailing Address - City:STARKS
Mailing Address - State:LA
Mailing Address - Zip Code:70661-4362
Mailing Address - Country:US
Mailing Address - Phone:337-217-4820
Mailing Address - Fax:
Practice Address - Street 1:137 HIGHWAY 109 S
Practice Address - Street 2:
Practice Address - City:STARKS
Practice Address - State:LA
Practice Address - Zip Code:70661-4362
Practice Address - Country:US
Practice Address - Phone:337-217-4820
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-11
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant