Bailey, Suzanne L

Bailey, Suzanne L is an individual health care provider with primary practice located at 415 Mulberry Street , Evansville IN 47713-1230. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Bailey, Suzanne L can be contacted via phone (812) 423-7791.

Contact Information

Primary practice address
415 Mulberry Street Evansville IN 47713-1230
Phone: (812) 423-7791
Fax: (812) 422-7558
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X 70000091A Indiana
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 70000091A Indiana

Profile Details

NPI number 1235242629
LBN Legal business name Bailey, Suzanne L
Credentials PMHCNS-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
Last updated Jul 25th, 2012 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235242629 NPPES
Indiana MEDICAID 200203900

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