Individual
JOSEPH VINCENT BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA LP
Contact information
Practice address
1798 HEWITT AVE, SAINT PAUL, MN 55104-1129
(612) 978-8103
Mailing address
1615 STERLING ST S, SAINT PAUL, MN 55119-6103
(651) 714-2992
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
MN
Other
Enumeration date
10/16/2009
Last updated
10/16/2009
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