Provider Demographics
NPI:1649649997
Name:BAYSINGER, PAUL (LPC)
Entity type:Individual
Prefix:MR
First Name:PAUL
Middle Name:
Last Name:BAYSINGER
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11723 OLD GLENN HWY STE 203
Mailing Address - Street 2:
Mailing Address - City:EAGLE RIVER
Mailing Address - State:AK
Mailing Address - Zip Code:99577-7750
Mailing Address - Country:US
Mailing Address - Phone:907-406-7640
Mailing Address - Fax:877-354-5075
Practice Address - Street 1:11723 OLD GLENN HWY STE 203
Practice Address - Street 2:
Practice Address - City:EAGLE RIVER
Practice Address - State:AK
Practice Address - Zip Code:99577-7750
Practice Address - Country:US
Practice Address - Phone:907-406-7640
Practice Address - Fax:877-354-5075
Is Sole Proprietor?:No
Enumeration Date:2015-09-16
Last Update Date:2017-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK102720101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional