Individual
MS. STEPHANIE BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
2500 S STATE ST, SOUTH SALT LAKE, UT 84115-3164
(385) 646-9853
Mailing address
4506 SOUTH LARCH WAY, SALT LAKE CITY, UT 84123
(801) 671-6308
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/26/2021
Last updated
05/25/2022
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