Individual
STEPHEN JOSEPH BAICH
Active
Individual
STEPHEN JOSEPH BAICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2000159801
MO
103TC0700X
Clinical Psychologist
LP 1095
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
495005019
—
MO
Enumeration date
04/09/2007
Last updated
08/05/2021
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