MEDICARE: DR. DONNA BAIRD PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	LC0962	MD

General Provider Information

NPI Number	:	1366670879
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DONNA BAIRD PHD

Provider Business Mailing Address
First Line	:	2845 BLUE SPRUCE LN
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20906-3167
Country	:	US
Telephone Number	:	301-801-0808
Fax Number	:	301-871-0099

Provider Business Practice Location Address
First Line	:	2845 BLUE SPRUCE LN
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20906-3167
Country	:	US
Telephone Number	:	301-801-0808
Fax Number	:	301-871-0099

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2009
Last Update Date	:	06/24/2009

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Directions to “ DR. DONNA BAIRD PHD” Practice Location

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