Provider Demographics
NPI:1942578752
Name:BAILEY, DEBORAH CATHERINE (LTMF)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:CATHERINE
Last Name:BAILEY
Suffix:
Gender:F
Credentials:LTMF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 COURT ST
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:MI
Mailing Address - Zip Code:48858-2358
Mailing Address - Country:US
Mailing Address - Phone:989-773-9328
Mailing Address - Fax:
Practice Address - Street 1:210 COURT ST
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:MI
Practice Address - Zip Code:48858-2358
Practice Address - Country:US
Practice Address - Phone:989-773-9328
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-07
Last Update Date:2011-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4101006417106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist