Provider Demographics
NPI:1598452039
Name:HARRISON, BAILEY ANN
Entity Type:Individual
Prefix:
First Name:BAILEY
Middle Name:ANN
Last Name:HARRISON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4143 LOCUST RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:CLEVES
Mailing Address - State:OH
Mailing Address - Zip Code:45002-1345
Mailing Address - Country:US
Mailing Address - Phone:513-288-8377
Mailing Address - Fax:
Practice Address - Street 1:4143 LOCUST RIDGE DR
Practice Address - Street 2:
Practice Address - City:CLEVES
Practice Address - State:OH
Practice Address - Zip Code:45002-1345
Practice Address - Country:US
Practice Address - Phone:513-288-8377
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-24
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst