Bailey, Lisa D

Bailey, Lisa D is an individual health care provider with primary practice located at 12412 San Jose Blvd Ste 203 , Jacksonville FL 32223-8620. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Bailey, Lisa D can be contacted via phone (904) 432-3321.

Contact Information

Primary practice address
12412 San Jose Blvd Ste 203 Jacksonville FL 32223-8620
Phone: (904) 432-3321
Fax: (904) 432-3324
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PY9441 Florida

Profile Details

NPI number 1053634014
LBN Legal business name Bailey, Lisa D
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 4th, 2010
Last updated Aug 18th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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