MEDICARE: DR. LINDA BAILEY PHD

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
1	103T00000X	Psychologist	78519	KY
2	104100000X	Social Worker	361	KY
3	106H00000X	Marriage & Family Therapist	0308	KY

General Provider Information

NPI Number	:	1255309530
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LINDA BAILEY PHD

Provider Business Mailing Address
First Line	:	9700 PARK PLAZA AVE
Second Line	:	STE 105
City	:	LOUISVILLE
State	:	KY
Zip	:	40241-2286
Country	:	US
Telephone Number	:	502-327-0209
Fax Number	:	502-426-4902

Provider Business Practice Location Address
First Line	:	9700 PARK PLAZA AVE
Second Line	:	STE 105
City	:	LOUISVILLE
State	:	KY
Zip	:	40241-2286
Country	:	US
Telephone Number	:	502-327-0209
Fax Number	:	502-426-4902

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/10/2006
Last Update Date	:	09/11/2025

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Directions to “ DR. LINDA BAILEY PHD” Practice Location

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