Provider Demographics
NPI:1437384773
Name:BAIRD, LINDA KAY (MA, LPC)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:KAY
Last Name:BAIRD
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4745 TANTRA DR
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80305-6185
Mailing Address - Country:US
Mailing Address - Phone:303-507-6310
Mailing Address - Fax:
Practice Address - Street 1:750 E 9TH AVE
Practice Address - Street 2:#204
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-3394
Practice Address - Country:US
Practice Address - Phone:303-507-6310
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-15
Last Update Date:2009-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4745101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health