Healthcare Provider Details

I. General information

NPI: 1265289904
Provider Name (Legal Business Name): BAILEY HULL PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2024
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

380 BUTTERFLY GARDENS DR
COLUMBUS OH
43215-7508
US

IV. Provider business mailing address

380 BUTTERFLY GARDENS DR
COLUMBUS OH
43215-7508
US

V. Phone/Fax

Practice location:
  • Phone: 216-741-2241
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License NumberP.09013
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: