Healthcare Provider Details

I. General information

NPI: 1962497172
Provider Name (Legal Business Name): HUGH ROBERT BAIRD MED LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 09/14/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4232 E CACTUS RD STE 207
PHOENIX AZ
85032-7602
US

IV. Provider business mailing address

4232 E CACTUS RD STE 207
PHOENIX AZ
85032-7602
US

V. Phone/Fax

Practice location:
  • Phone: 602-494-8105
  • Fax: 602-494-8108
Mailing address:
  • Phone: 602-494-8105
  • Fax: 602-494-8108

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC10107
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberLPC10107
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: