| NPI | 1962787457 |
|---|---|
| Professional Name | MARYBETH BAILAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NC 4639) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CT 003293) |
| Enumeration Date | 2011-10-15 |
| Last Update Date | 2022-08-15 |