Provider Demographics
NPI:1891819942
Name:BAIRD, ROBERT J (MS)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:J
Last Name:BAIRD
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 S 500 E STE 150
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84102-2058
Mailing Address - Country:US
Mailing Address - Phone:801-595-1700
Mailing Address - Fax:801-539-8900
Practice Address - Street 1:230 S 500 E STE 150
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84102-2058
Practice Address - Country:US
Practice Address - Phone:801-595-1700
Practice Address - Fax:801-539-8900
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT4898792-4101231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist