Amanda N Bailey, REPT, CNIM
Specialist/Technologist, Other, EEG in Tyler, TX. Individual provider (NPI-1).
NPI number1720435340
StatusActive
Last updated in NPPESApr 22, 2019
Details
- NPI
- 1720435340
- Entity type
- Individual (NPI-1)
- Name
- Ms. Amanda N Bailey
- Credential
- REPT, CNIM
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 24, 2016
- Last updated
- Apr 22, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246ZE0500X | Specialist/Technologist, Other, EEG | 4023 | TX | Yes |
| 2472E0500X | Technician, Other, EEG | 4023 | TX | |
| 246ZE0600X | Specialist/Technologist, Other, Electroneurodiagnostic | – | – |
Practice location
1356 Old Creek DrTyler, TX 75703-7642
Phone 903-534-8812 · Fax 903-939-9149
Mailing address
1356 Old Creek DrTyler, TX 75703-7642
Phone 903-534-8812 · Fax 903-939-9149
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