Individual
MRS. ALICE PAIGE BAYLESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SSP
Contact information
Practice address
605 TIMBERLEAF CT, COLUMBIA, SC 29212-0804
(803) 781-5810
Mailing address
605 TIMBERLEAF CT, COLUMBIA, SC 29212-0804
(803) 781-5810
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
172832
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
172832
—
SC
Enumeration date
06/19/2013
Last updated
06/19/2013
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