Bailey, Russell James

Bailey, Russell James is an individual health care provider with primary practice located at 1675 N Freedom Blvd Suite 2B2, Provo UT 84604-2540. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Bailey, Russell James can be contacted via phone (801) 360-7598.

Contact Information

Primary practice address
1675 N Freedom Blvd Suite 2B2 Provo UT 84604-2540
Phone: (801) 360-7598
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 7809881-2504 Utah

Profile Details

NPI number 1851693808
LBN Legal business name Bailey, Russell James
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 24th, 2010
Last updated Nov 24th, 2010 - about 15 years ago

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.

Request for update

Popular Providers