| Doctor Name: | DR. ALESHA MARIE MULJAT BAILEY |
| NPI Number: | 1992148175 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | PY60309815 |
| Business Practice Address: | 4424 S 188th St Bldg 900 Seatac, WA - 981885028 |
| Business Phone Number: | 2062777210 |
| Business Fax Number: | 2064447748 |
| Mailing Address: | 955 Powell Ave Sw, RENTON |
| State: | WA |
| Postal Code: | 98057 |
| Phone Number: | 4252771311 |
| Fax Number: | |
| NPI Enumeration Date: | 04/08/2013 |
| NPI Last Update Date: | 12/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PY60309815 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |