Individual
DR. TRAVIS BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD, EDS
Contact information
Practice address
1918 THOMAS JEFFERSON PKWY, PALMYRA, VA 22963-4836
(434) 589-3666
Mailing address
68 PONDEROSA LN, PALMYRA, VA 22963-2407
(804) 337-5647
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810005617
VA
Other
Enumeration date
05/23/2018
Last updated
05/23/2018
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