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NPI Code Detail

MEDICARE: MRS. BAILEY BLEDSOE LPC

MEDICARE: MRS. BAILEY BLEDSOE LPC
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
1101YP2500XProfessional CounselorPC006418PA

General Provider Information

NPI Number : 1285033415
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BAILEY BLEDSOE LPC
Provider Business Mailing Address
First Line : 5180 CAMPBELLS RUN RD
Second Line :
City : PITTSBURGH
State : PA
Zip : 15205-9731
Country : US
Telephone Number : 412-788-8219
Fax Number : 412-788-8215
Provider Business Practice Location Address
First Line : 5180 CAMPBELLS RUN RD
Second Line :
City : PITTSBURGH
State : PA
Zip : 15205-9731
Country : US
Telephone Number : 412-788-8219
Fax Number : 412-788-8215
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2014
Last Update Date : 08/13/2014

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Directions to “ MRS. BAILEY BLEDSOE LPC” Practice Location

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