Individual
DR. JANNICE BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
4618 FIR DR, NAZARETH, PA 18064-9605
(610) 762-5645
Mailing address
4618 FIR DR, NAZARETH, PA 18064-9605
(610) 762-5645
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS006727L
PA
Other
Enumeration date
10/10/2019
Last updated
10/10/2019
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