Individual
DR. LARRY WILLIAM BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
555 DAYTON ST, EDMONDS, WA 98020-3601
(425) 774-4673
Mailing address
18631 80TH AVE W, EDMONDS, WA 98026-5818
(425) 771-7736
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY00000391
WA
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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