Individual
ROBERT L BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD HSPP
Contact information
Practice address
831 DILLON DR, RICHMOND, IN 47374-8048
(765) 983-8000
(765) 935-3869
Mailing address
645 S ROGERS ST, BLOOMINGTON, IN 47403-2353
(812) 339-1691
(812) 337-2438
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20090232A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100474860
—
IN
Enumeration date
03/17/2006
Last updated
07/02/2014
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