Provider Demographics
NPI:1891569018
Name:WARD, BAILEY (MPH)
Entity type:Individual
Prefix:
First Name:BAILEY
Middle Name:
Last Name:WARD
Suffix:
Gender:F
Credentials:MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2417 BRANCHWOOD CT
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:CA
Mailing Address - Zip Code:94806-1958
Mailing Address - Country:US
Mailing Address - Phone:510-508-8837
Mailing Address - Fax:
Practice Address - Street 1:4605 APRIL CT
Practice Address - Street 2:
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94591-6378
Practice Address - Country:US
Practice Address - Phone:510-508-8837
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-08
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health