Provider Demographics
NPI:1386944932
Name:BAILA, NICOLETA V (PSYD)
Entity type:Individual
Prefix:
First Name:NICOLETA
Middle Name:V
Last Name:BAILA
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:WEST CHESTER 2001 28TH STREET
Mailing Address - Street 2:FINANCE ADMINISTRATION, NORTH TOWER, 3RD FLOOR
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301
Mailing Address - Country:US
Mailing Address - Phone:661-868-6600
Mailing Address - Fax:
Practice Address - Street 1:WEST CHESTER 2001 28TH STREET
Practice Address - Street 2:FINANCE ADMINISTRATION, NORTH TOWER, 3RD FLOOR
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301
Practice Address - Country:US
Practice Address - Phone:661-868-6600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-29
Last Update Date:2024-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103T00000XBehavioral Health & Social Service ProvidersPsychologist