Individual provider · NPI-1
Paul Baysinger, LPC
Counselor, Professional · Eagle River, AK
NPI number1649649997
StatusActive
Last updated in NPPESDec 19, 2017
Details
- NPI
- 1649649997
- Entity type
- Individual (NPI-1)
- Name
- Mr. Paul Baysinger
- Credential
- LPC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 16, 2015
- Last updated
- Dec 19, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 102720 | AK | Yes |
Practice location
11723 Old Glenn Hwy Ste 203Eagle River, AK 99577-7750
Phone 907-406-7640 · Fax 877-354-5075
Mailing address
11723 Old Glenn Hwy Ste 203Eagle River, AK 99577-7750
Phone 907-406-7640 · Fax 877-354-5075
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.