Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | SW 5196 | FL |
NPI | 1003052341 |
---|---|
Provider Name | Melinda Joanne Bailey-Schreiner |
First Address | Largo, FL 33771-3969 |
Second Address | Largo, FL 33771-3969 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/12/2008 |
Last Update Date | 08/05/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U1950 | MEDICARE LEGACY PROVIDER NUMBER (01) | FL |