MEDICARE: MRS. BINAIFER BIRD MA, LMFT

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	101YM0800X	Mental Health Counselor	5079	TX

General Provider Information

NPI Number	:	1427344324
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BINAIFER BIRD MA, LMFT

Provider Business Mailing Address
First Line	:	13248 BLUE JEAN DR
Second Line	:
City	:	HASLET
State	:	TX
Zip	:	76052-4857
Country	:	US
Telephone Number	:	682-557-8356
Fax Number	:

Provider Business Practice Location Address
First Line	:	13248 BLUE JEAN DR
Second Line	:
City	:	HASLET
State	:	TX
Zip	:	76052-4857
Country	:	US
Telephone Number	:	682-557-8356
Fax Number	:

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

Provider Enumeration Date	:	06/20/2011
Last Update Date	:	06/20/2011

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