Provider Demographics
NPI:1023220266
Name:BAIRD, FRANK (MFT)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:
Last Name:BAIRD
Suffix:
Gender:M
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 DUESENBERG DR STE 1A
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91362-3476
Mailing Address - Country:US
Mailing Address - Phone:818-865-2169
Mailing Address - Fax:
Practice Address - Street 1:141 DUESENBERG DR STE 1A
Practice Address - Street 2:
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91362-3476
Practice Address - Country:US
Practice Address - Phone:818-865-2169
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC35419106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist