Doctor Name: | AUBRIE NICOLE BAYLESS |
NPI Number: | 1730410457 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 4709 Nw 46th Dr Warr Acres, OK - 731225308 |
Business Phone Number: | 4052456218 |
Business Fax Number: | |
Mailing Address: | 4709 Nw 46th Dr, WARR ACRES |
State: | OK |
Postal Code: | 731225308 |
Phone Number: | 4052456218 |
Fax Number: | |
NPI Enumeration Date: | 01/20/2010 |
NPI Last Update Date: | 05/21/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OK |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |