Individual
RICHARD C BAITHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
8500 EXECUTIVE PARK AVE, SUITE 200, FAIRFAX, VA 22031-2225
(703) 698-5200
(703) 573-2351
Mailing address
8500 EXECUTIVE PARK AVE, SUITE 200, FAIRFAX, VA 22031-2225
(703) 698-5200
(703) 573-2351
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0810001356
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0009
CAREFIRST NCA
DC
01
—
031140
VALUE OPTIONS
VA
01
—
105251-000
MAGELLAN
VA
01
—
202939
ANTHEM
VA
01
—
345093
MAMSI
VA
01
—
4231241
AETNA
—
01
—
445093
MAMSI
—
01
—
513429
NCPPO
VA
01
—
72463341
TRICARE
VA
Enumeration date
07/15/2005
Last updated
11/10/2011
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