Individual
DR. JONATHON DAVID BAIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
7265 N 1ST ST STE 103, FRESNO, CA 93720-2956
(559) 492-1560
(559) 234-0641
Mailing address
13264 E SAGINAW WAY, SANGER, CA 93657-9347
(559) 801-8944
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
31195
CA
103TC0700X
Clinical Psychologist
31195
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31195
BOARD OF PSYCHOLOGY
CA
Enumeration date
12/09/2019
Last updated
05/08/2024
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