Provider Demographics
NPI:1962497172
Name:BAIRD, HUGH ROBERT (MED LPC)
Entity Type:Individual
Prefix:
First Name:HUGH
Middle Name:ROBERT
Last Name:BAIRD
Suffix:
Gender:M
Credentials:MED LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4232 E CACTUS RD
Mailing Address - Street 2:STE 207
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032-7602
Mailing Address - Country:US
Mailing Address - Phone:602-494-8105
Mailing Address - Fax:602-494-8108
Practice Address - Street 1:4232 E CACTUS RD
Practice Address - Street 2:STE 207
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85032-7602
Practice Address - Country:US
Practice Address - Phone:602-494-8105
Practice Address - Fax:602-494-8108
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC10107101YP2500X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist