Organization
BECKY BAILEY, PH.D., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BECKY BAILEY PHD (PSYCHOLOGIST)
(801) 521-6234
Entity
Organization
Contact information
Practice address
699 E SOUTH TEMPLE STE 202, SALT LAKE CITY, UT 84102-4251
(801) 521-6234
(801) 257-0528
Mailing address
699 E SOUTH TEMPLE STE 202, SALT LAKE CITY, UT 84102-4251
(801) 521-6234
(801) 257-0528
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1156592501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
543625594011
—
UT
Enumeration date
12/08/2010
Last updated
02/24/2022
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