Healthcare Provider Details

I. General information

NPI: 1659604429
Provider Name (Legal Business Name): RACHEL BAIRD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2009
Last Update Date: 01/27/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6833 STOCKTON BLVD STE 485
SACRAMENTO CA
95823-2376
US

IV. Provider business mailing address

6833 STOCKTON BLVD STE 485
SACRAMENTO CA
95823-2376
US

V. Phone/Fax

Practice location:
  • Phone: 916-394-0800
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: