Bailey, Teresa

Bailey, Teresa is an individual health care provider with primary practice located at 881 Fremont Ave Suite B, Los Altos CA 94024-5697. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Bailey, Teresa can be contacted via phone (650) 967-3451.

Contact Information

Primary practice address
881 Fremont Ave Suite B Los Altos CA 94024-5697
Phone: (650) 967-3451
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PSY17586 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY17586 California
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X PSY17586 California

Profile Details

NPI number 1063757847
LBN Legal business name Bailey, Teresa
Credentials PH.D., PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2012
Last updated Dec 4th, 2012 - about 12 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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