Bailis, Stefan A.
Bailis, Stefan A. is an sole proprietor health care provider with primary practice located at 1600 University Ave W Suite 203, Saint Paul MN 55104-3898. He recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Health Service, Behavioral Health & Social Service Providers / Group Psychotherapy, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Bailis, Stefan A. can be contacted via phone (651) 645-0980.Contact Information
Primary practice address
1600 University Ave W Suite 203
Saint Paul MN 55104-3898
Phone: (651) 645-0980
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | LP5333 | Minnesota |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | LP5333 | Minnesota |
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | LP5333 | Minnesota |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | LP5333 | Minnesota |
| Behavioral Health & Social Service Providers / Family | 103TF0000X | LP5333 | Minnesota |
| Behavioral Health & Social Service Providers / Health Service | 103TH0100X | LP5333 | Minnesota |
| Behavioral Health & Social Service Providers / Group Psychotherapy | 103TP2701X | LP5333 | Minnesota |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | LP5333 | Minnesota |
Profile Details
| NPI number | 1891086005 |
|---|---|
| LBN Legal business name | Bailis, Stefan A. |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 21st, 2011 |
| Last updated | Apr 14th, 2020 - about 4 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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