Provider Demographics
NPI:1083592018
Name:CALL, CORA BAILEY
Entity type:Individual
Prefix:
First Name:CORA
Middle Name:BAILEY
Last Name:CALL
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 1:1209 N SUMMERBROOK AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:ID
Mailing Address - Zip Code:83642-8750
Mailing Address - Country:US
Mailing Address - Phone:208-938-5823
Mailing Address - Fax:
Practice Address - Street 1:1209 N SUMMERBROOK AVE STE 100
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:ID
Practice Address - Zip Code:83642-8750
Practice Address - Country:US
Practice Address - Phone:208-938-5823
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-26
Last Update Date:2025-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID2671077231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist