Individual
DR. WENDY BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
569
SD
103TC0700X
Clinical Psychologist
PSY002609
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000961188E
—
GA
01
—
10032548
AMERIGROUP PROVIDER NUMBR
GA
01
—
100651
CENPATICO BEHAVIORAL HLTH
GA
Enumeration date
12/18/2006
Last updated
11/07/2018
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