Bailey, Mackenzy

Bailey, Mackenzy is an sole proprietor health care provider with primary practice located at 191 Burton Mesa Blvd Ste B, Lompoc CA 93436-1400. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Bailey, Mackenzy can be contacted via phone (805) 733-4542.

Contact Information

Primary practice address
191 Burton Mesa Blvd Ste B Lompoc CA 93436-1400
Fax: (805) 733-4392
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP23436 California

Profile Details

NPI number 1710341805
LBN Legal business name Bailey, Mackenzy
Credentials MA CCC SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 5th, 2016
Last updated Apr 5th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710341805 NPPES
California MEDICAID GSP00390

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