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NPI Code Detail

MEDICARE: DR. EMILY H. BAILEY PSYD.

MEDICARE: DR. EMILY H. BAILEY PSYD.
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
1103TC0700XClinical Psychologist4675MA
2103T00000XPsychologist4675MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1W04533OTHERMABLUE CROSS/BLUE SHIELD

General Provider Information

NPI Number : 1306929997
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EMILY H. BAILEY PSYD.
Provider Business Mailing Address
First Line : 105 LEXINGTON AVE
Second Line :
City : CAMBRIDGE
State : MA
Zip : 02138-3369
Country : US
Telephone Number : 617-661-1097
Fax Number : 617-661-1097
Provider Business Practice Location Address
First Line : 22 HILLIARD ST
Second Line :
City : CAMBRIDGE
State : MA
Zip : 02138-4972
Country : US
Telephone Number : 617-661-1097
Fax Number : 617-661-1097
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2006
Last Update Date : 09/11/2025

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