Provider Demographics
NPI:1336222413
Name:BAILEY, LINDA (BC-HIS)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:BAILEY
Suffix:
Gender:F
Credentials:BC-HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ONEIDA
Mailing Address - State:NY
Mailing Address - Zip Code:13421-1618
Mailing Address - Country:US
Mailing Address - Phone:315-363-7869
Mailing Address - Fax:315-363-4661
Practice Address - Street 1:121 MAIN ST
Practice Address - Street 2:
Practice Address - City:ONEIDA
Practice Address - State:NY
Practice Address - Zip Code:13421-1618
Practice Address - Country:US
Practice Address - Phone:315-363-7869
Practice Address - Fax:315-363-4661
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY14000008782237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist