Stefan Bailis, PSYD

NPI 1891086005 · on the registry since 2011 · sole proprietor

Practice

Address: 1600 University Ave W
Suite 203
Saint Paul, MN 55104
Phone: (651) 645-0980
Organisation at this address: Scott M Yarosh, Llc
Genoa Healthcare Llc
People Enhancing People
The Wayside House, Inc.
People Enhancing People
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 71

Registry record

Primary taxonomy: 103T00000X
103T00000X
Also registered as: 103TB0200X
103TC0700X
103TC1900X
103TC2200X
103TF0000X
103TH0100X
103TP2701X
Licence states on file: MN
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2020-04-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota