Provider Demographics
NPI:1285149088
Name:BAILEY, GINA MARGARET (MS CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:GINA
Middle Name:MARGARET
Last Name:BAILEY
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 OVERLOOK RD
Mailing Address - Street 2:
Mailing Address - City:PAINESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44077-5343
Mailing Address - Country:US
Mailing Address - Phone:440-522-4328
Mailing Address - Fax:
Practice Address - Street 1:1941 RED BIRD RD
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:OH
Practice Address - Zip Code:44057-2121
Practice Address - Country:US
Practice Address - Phone:440-428-9307
Practice Address - Fax:440-428-9307
Is Sole Proprietor?:No
Enumeration Date:2017-12-04
Last Update Date:2017-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP4831235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist