What is Jason Bailie's NPI number?

The NPI number assigned to this healthcare provider is 1932494432, enumerated as a individual on June 13, 2011.

Where is the provider located?

The provider is located at 3102 E HIGHLAND AVE PATTON, CA 92369 and the phone number is (909) 425-7658.

What is the provider's specialty?

The provider's specialty is Clinical Neuropsychologist with taxonomy code 103G00000X.

DR. JASON M. BAILIE PH.D. - NPI 1932494432 - Clinical Neuropsychologist in Patton, CA

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About Dr. Jason M. Bailie Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JASON M. BAILIE PH.D. (NPI 1932494432) is an individual clinical neuropsychologist in Patton, California, licensed in California (24126) and active in the NPI registry since June 2011.

NPPES Registry Identity

NPI1932494432

Entity TypeIndividualMale

Primary Taxonomy103G00000X

Provider Legal NameDR. JASON M. BAILIECredential: PH.D.

Location Address3102 E HIGHLAND AVEPatton, CA 92369-7813

Mailing Address3102 E Highland AvePatton, CA 92369-7813 · (909) 425-7658

Phone(909) 425-7658

Sole ProprietorNo

Enumeration DateJune 13, 2011

✔ NPI 1932494432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in CA · 24126

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

3102 E HIGHLAND AVE, Patton, CA 92369

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