Provider Demographics
NPI:1730592445
Name:BAIER, BERNICE (LMFT)
Entity type:Individual
Prefix:
First Name:BERNICE
Middle Name:
Last Name:BAIER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:NISI
Other - Middle Name:
Other - Last Name:BAIER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 536
Mailing Address - Street 2:
Mailing Address - City:BRADDOCK HEIGHTS
Mailing Address - State:MD
Mailing Address - Zip Code:21714-0536
Mailing Address - Country:US
Mailing Address - Phone:510-333-9554
Mailing Address - Fax:
Practice Address - Street 1:5909 JEFFERSON BLVD
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21703-6950
Practice Address - Country:US
Practice Address - Phone:510-333-9554
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-10
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLCM819106H00000X
CALMFT105673106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist