Amy Irene Bailey, BAECE, MASE

Individual provider Active NPI Developmental Therapist · Lincoln, IL

NPI 1891501474 · NPPES record last updated Dec 9, 2024

Key facts

NPI
1891501474
Entity type
Individual (NPI type 1)
Primary specialty
Developmental Therapist 222Q00000X
Practice address
926 Lake St
Lincoln, IL 62656-9139
Phone
(217) 750-2559
NPI assigned
Dec 9, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
222Q00000X
Developmental Therapist 222Q00000X IL Yes

Addresses

Primary practice location

926 Lake St
Lincoln, IL 62656-9139

Mailing address

926 Lake St
Lincoln, IL 62656-9139
Phone (217) 750-2559

Other providers in Lincoln, IL

All providers in Lincoln, IL · Developmental Therapist in Illinois

Sources for this page

Verify at the official NPI Registry.