Bailey, Wendy
Bailey, Wendy is an sole proprietor health care provider with primary practice located at 301 Flynn Dr , Milbank SD 57252-1508. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bailey, Wendy can be contacted via phone (605) 432-4587.Contact Information
Primary practice address
301 Flynn Dr
Milbank SD 57252-1508
Phone: (605) 432-4587
Fax: (605) 432-4580
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY002609 | Georgia |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 569 | South Dakota |
Profile Details
| NPI number | 1053474650 |
|---|---|
| LBN Legal business name | Bailey, Wendy |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 18th, 2006 |
| Last updated | Nov 7th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053474650 | NPPES |
| Georgia | MEDICAID | 000961188E | |
| Georgia | Other | 10032548 | |
| Georgia | Other | 100651 |
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