Individual
MRS. BAILEY MATTISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1841 PARK AVE, NEW YORK, NY 10035-1316
(646) 459-6091
Mailing address
1366 INWOOD AVE, BRONX, NY 10452-3203
(702) 578-3035
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
08/04/2010
Last updated
08/23/2016
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