Bailet, Laura L.

Bailet, Laura L. is an individual health care provider with primary practice located at 807 Childrens Way , Jacksonville FL 32207-8426. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / School, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. Bailet, Laura L. can be contacted via phone (904) 390-3780.

Contact Information

Primary practice address
807 Childrens Way Jacksonville FL 32207-8426
Phone: (904) 390-3780
Fax: (904) 390-3429
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X SS0000519 Florida
Behavioral Health & Social Service Providers / School 103TS0200X SS0000519 Florida
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X SS0000519 Florida

Profile Details

NPI number 1245241769
LBN Legal business name Bailet, Laura L.
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Sep 3rd, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245241769 NPPES
Georgia MEDICAID 000634554A

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