Provider Demographics
NPI:1942527833
Name:BAXIU, MARIE-PAUL (CCH, CHI, RP)
Entity Type:Individual
Prefix:MS
First Name:MARIE-PAUL
Middle Name:
Last Name:BAXIU
Suffix:
Gender:F
Credentials:CCH, CHI, RP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 641326
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90064-6326
Mailing Address - Country:US
Mailing Address - Phone:310-901-9440
Mailing Address - Fax:
Practice Address - Street 1:1618 COTNER AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-3304
Practice Address - Country:US
Practice Address - Phone:310-901-9440
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-30
Last Update Date:2010-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor