Provider Demographics
NPI:1013624105
Name:CHESHIRE, BAILEY DS
Entity Type:Individual
Prefix:MRS
First Name:BAILEY
Middle Name:DS
Last Name:CHESHIRE
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:BAILEY
Other - Middle Name:
Other - Last Name:STREETER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:200 2ND AVE W APT 416
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98119-4387
Mailing Address - Country:US
Mailing Address - Phone:541-852-6239
Mailing Address - Fax:
Practice Address - Street 1:200 2ND AVE W APT 416
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98119-4387
Practice Address - Country:US
Practice Address - Phone:541-852-6239
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-31
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist