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NPI Code Detail

MEDICARE: BAILEY IRENE HINZ MM, MT-BC, CSW-I

MEDICARE: BAILEY IRENE HINZ MM, MT-BC, CSW-I
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225A00000XMusic TherapistNV20141188375NV
21041C0700XClinical Social WorkerIC-2292NV

General Provider Information

NPI Number : 1962828780
Entity Type Code : Individual
Provider Name (Legal Business Name) : BAILEY IRENE HINZ MM, MT-BC, CSW-I
Provider Business Mailing Address
First Line : 1150 N BUFFALO DR
Second Line : UNIT 1091
City : LAS VEGAS
State : NV
Zip : 89128-4133
Country : US
Telephone Number : 630-392-1404
Fax Number :
Provider Business Practice Location Address
First Line : 5584 S FORT APACHE RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-7657
Country : US
Telephone Number : 702-296-1222
Fax Number : 888-506-8728
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2014
Last Update Date : 05/24/2024

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Directions to “ BAILEY IRENE HINZ MM, MT-BC, CSW-I” Practice Location

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