Individual
DR. LEISA ANN BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
600 KENNESAW AVE NW, SUITE 300, MARIETTA, GA 30060-6988
(770) 428-6698
(770) 428-7475
Mailing address
600 KENNESAW AVE NW, SUITE 300, MARIETTA, GA 30060-6988
(770) 428-6698
(770) 428-7475
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
999
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000819
VALUE OPTIONS
GA
Enumeration date
01/18/2007
Last updated
08/16/2007
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