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NPI Code Detail

MEDICARE: BAILA GOLDSTEIN

MEDICARE:   BAILA  GOLDSTEIN
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
11041C0700XClinical Social Worker955KS
21041C0700XClinical Social Worker001562MO

General Provider Information

NPI Number : 1346310448
Entity Type Code : Individual
Provider Name (Legal Business Name) : BAILA GOLDSTEIN
Provider Business Mailing Address
First Line : 4400 W 78TH ST
Second Line :
City : PRAIRIE VILLAGE
State : KS
Zip : 66208-4354
Country : US
Telephone Number : 816-333-0606
Fax Number : 816-523-5418
Provider Business Practice Location Address
First Line : 6155 OAK ST
Second Line : SUITE E
City : KANSAS CITY
State : MO
Zip : 64113-2238
Country : US
Telephone Number : 816-333-0606
Fax Number : 816-523-5418
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2006
Last Update Date : 07/08/2007

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Directions to “ BAILA GOLDSTEIN ” Practice Location

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