Healthcare Provider Details

I. General information

NPI: 1124339957
Provider Name (Legal Business Name): KENDRA BAILEY PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2010
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2650 LARKSPUR LN STE H
REDDING CA
96002-1034
US

IV. Provider business mailing address

2650 LARKSPUR LN STE H
REDDING CA
96002-1034
US

V. Phone/Fax

Practice location:
  • Phone: 530-206-3328
  • Fax:
Mailing address:
  • Phone: 562-216-2187
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY28536
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: