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DR. STEPHEN DOUGLAS BAILEY ED. D.

>> Clinical Neuropsychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1255578324

Individual Registrant:
DR. STEPHEN DOUGLAS BAILEY ED. D.
Gender: M
Sole Proprietor

Location and contact information for practice:
214 W MAIN ST  SOMERTON, AZ 85350-6329 US
Tel: 928-627-1120  Fax: 928-722-6113

Contact information for business:
PO BOX 617  SOMERTON, AZ 85350-0617 US
Tel: 928-315-7910  Fax: 928-722-6113

Registration Information:
NPI: 1255578324
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
AZ3803
N103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
AL1253
Y103T00000XBehavioral Health & Social Service Providers
Psychologist
AZPSY-003803

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS AZ - Page 1



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