Bailey, Tanya Suzann

Bailey, Tanya Suzann is an sole proprietor health care provider with primary practice located at 825 W 8Th Ave Ste 203 , Anchorage AK 99501-3452. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bailey, Tanya Suzann can be contacted via phone (907) 646-2952.

Contact Information

Primary practice address
825 W 8Th Ave Ste 203 Anchorage AK 99501-3452
Phone: (907) 646-2952
Fax: (907) 646-2953
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 171201 Alaska

Profile Details

NPI number 1417512963
LBN Legal business name Bailey, Tanya Suzann
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 9th, 2019
Last updated Aug 29th, 2022 - about 2 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 1417512963 NPPES
Alaska MEDICAID 1720227

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