| Bailey & Associates Psc | |
|
9700 Park Plaza Ave Suite 105 Louisville KY 40241-2236 | |
| (502) 327-0209 | |
| (502) 426-4902 |
| Full Name | Bailey & Associates Psc |
|---|---|
| Speciality | Psychologist |
| Location | 9700 Park Plaza Ave, Louisville, Kentucky |
| Authorized Official Name and Position | Linda Bailey (OWNER) |
| Authorized Official Contact | 5023270209 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bailey & Associates Psc 9700 Park Plaza Ave Suite 105 Louisville KY 40241-2236 Ph: (502) 327-0209 | Bailey & Associates Psc 9700 Park Plaza Ave Suite 105 Louisville KY 40241-2236 Ph: (502) 327-0209 |
| NPI Number | 1356522932 |
|---|---|
| Provider Enumeration Date | 11/24/2007 |
| Last Update Date | 10/30/2012 |
| Medicare PECOS PAC ID | 7315991890 |
|---|---|
| Medicare Enrollment ID | O20050308000650 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356522932 | NPI | - | NPPES |
| 1255309530 | Other | KY | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 78519 (Kentucky) | Primary |
| Provider Name | Linda S Bailey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255309530 PECOS PAC ID: 9032163514 Enrollment ID: I20121128000540 |
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