Provider Demographics
NPI:1659926558
Name:CAMPBELL, BAILEY
Entity Type:Individual
Prefix:
First Name:BAILEY
Middle Name:
Last Name:CAMPBELL
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 1:2200 GOLDEN MILE HWY
Mailing Address - Street 2:
Mailing Address - City:PLUM
Mailing Address - State:PA
Mailing Address - Zip Code:15239-2730
Mailing Address - Country:US
Mailing Address - Phone:412-347-6446
Mailing Address - Fax:
Practice Address - Street 1:2200 GOLDEN MILE HWY
Practice Address - Street 2:
Practice Address - City:PLUM
Practice Address - State:PA
Practice Address - Zip Code:15239-2730
Practice Address - Country:US
Practice Address - Phone:412-347-6446
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-07
Last Update Date:2019-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Single Specialty