Provider Demographics
NPI:1518246636
Name:BAILEY, SHELIA M (PHD)
Entity Type:Individual
Prefix:DR
First Name:SHELIA
Middle Name:M
Last Name:BAILEY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:SHELIA
Other - Middle Name:M
Other - Last Name:MONTGOMERY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10503 HUFF DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77031-1816
Mailing Address - Country:US
Mailing Address - Phone:832-453-9186
Mailing Address - Fax:484-401-3394
Practice Address - Street 1:10503 HUFF DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77031-1816
Practice Address - Country:US
Practice Address - Phone:832-453-9186
Practice Address - Fax:484-401-3394
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-07
Last Update Date:2011-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103G00000X
TX34693103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist