Healthcare Provider Details

I. General information

NPI: 1366310104
Provider Name (Legal Business Name): BAILEY C BRYANT PSYD LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2025
Last Update Date: 10/24/2025
Certification Date: 10/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

126 WELLINGTON PL
CINCINNATI OH
45219-1710
US

IV. Provider business mailing address

126 WELLINGTON PL
CINCINNATI OH
45219-1710
US

V. Phone/Fax

Practice location:
  • Phone: 513-444-2018
  • Fax:
Mailing address:
  • Phone: 513-444-2018
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. BAILEY BRYANT
Title or Position: LICENSED CLINICAL PSYCHOLOGIST, OWN
Credential: PSY.D.
Phone: 513-503-1939