Individual
DR. SUSAN CHRISTINE BAIRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2632 S 11TH ST, KALAMAZOO, MI 49009-2106
(269) 873-8002
Mailing address
2632 S 11TH ST, KALAMAZOO, MI 49009-2106
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301012476
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11608898
CAQH PROVIDER ID
MI
01
—
6301012476
PROFESSIONAL LICENSE NUMB
MI
01
—
68-0-C9-1310-0
BCBSM PIN
MI
Enumeration date
02/18/2007
Last updated
11/29/2023
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