Individual
SUZANNE L BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHCNS-BC
Contact information
Practice address
415 MULBERRY STREET, EVANSVILLE, IN 47713-1230
(812) 423-7791
(812) 422-7558
Mailing address
415 MULBERRY STREET, EVANSVILLE, IN 47713-1230
(812) 423-7791
(812) 422-7558
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
70000091A
IN
364S00000X
Clinical Nurse Specialist
70000091A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200203900
—
IN
Enumeration date
08/17/2006
Last updated
07/25/2012
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