Ms Shirley Bailey Willard, MA is a
Psychologist based in Northumberland, Pennsylvania. Ms Shirley Bailey Willard is licensed to practice in Pennsylvania (license number PS007734L) and her current practice location is
204 Penn St, Northumberland, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(570) 473-7516.
NPI number for Ms Shirley Bailey Willard is 1063503498 and her current mailing address is 204 Penn St, Northumberland, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063503498.
Healthcare Provider's Profile
Full Name | Ms Shirley Bailey Willard |
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Gender | Female |
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Speciality | Psychologist |
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Location | 204 Penn St, Northumberland, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1063503498
- Provider Enumeration Date: 09/28/2006
- Last Update Date: 05/14/2008
Medical Identifiers
Medical identifiers for Ms Shirley Bailey Willard such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063503498 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | PS007734L (Pennsylvania) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Shirley Bailey Willard is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Shirley Bailey Willard, MA 204 Penn St, Northumberland, PA 17857-8406 Ph: (570) 473-7516 | Ms Shirley Bailey Willard, MA 204 Penn St, Northumberland, PA 17857-8406 Ph: (570) 473-7516 |
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