Provider Demographics
NPI:1801009758
Name:BAIRD, TODD CLAINE (PHD)
Entity Type:Individual
Prefix:DR
First Name:TODD
Middle Name:CLAINE
Last Name:BAIRD
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3500 HARRISON BLVD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84403-2058
Mailing Address - Country:US
Mailing Address - Phone:801-920-4215
Mailing Address - Fax:
Practice Address - Street 1:3500 HARRISON BLVD
Practice Address - Street 2:SUITE 105
Practice Address - City:OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84403-2058
Practice Address - Country:US
Practice Address - Phone:801-626-7724
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2013-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT4893563-3902106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist