Doctor Name: | MALINDA ANN BAILEY |
NPI Number: | 1801040282 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BA |
License Number: | |
Business Practice Address: | 309 W Main St Wilburton, OK - 745784047 |
Business Phone Number: | 9184653381 |
Business Fax Number: | 9184653053 |
Mailing Address: | Po Box 1404, MCALESTER |
State: | OK |
Postal Code: | 745021404 |
Phone Number: | 9184236030 |
Fax Number: | 9184232370 |
NPI Enumeration Date: | 11/11/2008 |
NPI Last Update Date: | 11/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |