| Becky Bailey, Ph.d., Pc | |
|
699 E South Temple Ste 202 Salt Lake City UT 84102-4251 | |
| (801) 521-6234 | |
| (801) 257-0528 |
| Full Name | Becky Bailey, Ph.d., Pc |
|---|---|
| Speciality | Psychologist |
| Location | 699 E South Temple Ste 202, Salt Lake City, Utah |
| Authorized Official Name and Position | Becky Bailey (PSYCHOLOGIST) |
| Authorized Official Contact | 8015216234 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Becky Bailey, Ph.d., Pc 699 E South Temple Ste 202 Salt Lake City UT 84102-4251 Ph: (801) 521-6234 | Becky Bailey, Ph.d., Pc 699 E South Temple Ste 202 Salt Lake City UT 84102-4251 Ph: (801) 521-6234 |
| NPI Number | 1538462874 |
|---|---|
| Provider Enumeration Date | 12/08/2010 |
| Last Update Date | 02/24/2022 |
| Certification Date | 02/24/2022 |
| Medicare PECOS PAC ID | 7012196652 |
|---|---|
| Medicare Enrollment ID | O20110127000935 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538462874 | NPI | - | NPPES |
| 543625594011 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 1156592501 (Utah) | Primary |
| Provider Name | Rebecca J Bailey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700818911 PECOS PAC ID: 9537244157 Enrollment ID: I20080306000595 |
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