Individual
SUZANNE ELIZABETH BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2018 WESTERN AVE, KNOXVILLE, TN 37921-5718
(865) 544-0406
(865) 544-0408
Mailing address
DEPARTMENT 888182, KNOXVILLE, TN 37995-8182
(800) 355-3565
(423) 714-2355
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
2860
TN
104100000X
Social Worker
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
184607
MEDICARE GROUP NUMBER
KY
Enumeration date
06/02/2006
Last updated
08/27/2008
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