Provider Demographics
NPI:1194543371
Name:BAILEY, VALERIE (PPS PSYD)
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:
Last Name:BAILEY
Suffix:
Gender:F
Credentials:PPS PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9315 DARCY CT
Mailing Address - Street 2:
Mailing Address - City:SANTEE
Mailing Address - State:CA
Mailing Address - Zip Code:92071-2918
Mailing Address - Country:US
Mailing Address - Phone:949-412-2325
Mailing Address - Fax:
Practice Address - Street 1:3660 CLAIREMONT DR STE 2
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92117-5909
Practice Address - Country:US
Practice Address - Phone:619-356-1315
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-27
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA220058398103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool