Individual
MR. CHARLES DAVID RICHARD BAILY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1101 17TH ST NW, SUITE 530, WASHINGTON, DC 20036-4704
(571) 257-3378
Mailing address
1101 17TH ST NW, SUITE 530, WASHINGTON, DC 20036-4704
(571) 257-3378
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
01/21/2015
Last updated
01/21/2015
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