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NPI Code Detail

MEDICARE: DR. ROSANNA BAILEY PSY.D.

MEDICARE: DR. ROSANNA BAILEY PSY.D.
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
1101YM0800XMental Health Counselor
2103T00000XPsychologistPSY203177ID

General Provider Information

NPI Number : 1417346925
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROSANNA BAILEY PSY.D.
Provider Business Mailing Address
First Line : 3687 VETERANS DR
Second Line :
City : FORT HARRISON
State : MT
Zip : 59636-9700
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3687 VETERANS DR
Second Line :
City : FORT HARRISON
State : MT
Zip : 59636-9700
Country : US
Telephone Number : 406-442-6410
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2015
Last Update Date : 10/30/2019

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