Healthcare Provider Details

I. General information

NPI: 1386944932
Provider Name (Legal Business Name): NICOLETA V BAILA PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/29/2010
Last Update Date: 11/08/2024
Certification Date: 11/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

WEST CHESTER 2001 28TH STREET FINANCE ADMINISTRATION, NORTH TOWER, 3RD FLOOR
BAKERSFIELD CA
93301
US

IV. Provider business mailing address

WEST CHESTER 2001 28TH STREET FINANCE ADMINISTRATION, NORTH TOWER, 3RD FLOOR
BAKERSFIELD CA
93301
US

V. Phone/Fax

Practice location:
  • Phone: 661-868-6600
  • Fax:
Mailing address:
  • Phone: 661-868-6600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: