Provider Demographics
NPI:1043398373
Name:COX, GAIL BAILEY (MA)
Entity Type:Individual
Prefix:MRS
First Name:GAIL
Middle Name:BAILEY
Last Name:COX
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:76 TOPAZ
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92602-1685
Mailing Address - Country:US
Mailing Address - Phone:714-600-2191
Mailing Address - Fax:
Practice Address - Street 1:17332 IRVINE BLVD STE 234
Practice Address - Street 2:
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-3063
Practice Address - Country:US
Practice Address - Phone:714-600-2191
Practice Address - Fax:714-484-7560
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2019-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC37031106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist