Provider Demographics
NPI:1427344324
Name:BIRD, BINAIFER (MA, LMFT)
Entity type:Individual
Prefix:MRS
First Name:BINAIFER
Middle Name:
Last Name:BIRD
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13248 BLUE JEAN DR
Mailing Address - Street 2:
Mailing Address - City:HASLET
Mailing Address - State:TX
Mailing Address - Zip Code:76052-4857
Mailing Address - Country:US
Mailing Address - Phone:682-557-8356
Mailing Address - Fax:
Practice Address - Street 1:13248 BLUE JEAN DR
Practice Address - Street 2:
Practice Address - City:HASLET
Practice Address - State:TX
Practice Address - Zip Code:76052-4857
Practice Address - Country:US
Practice Address - Phone:682-557-8356
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-20
Last Update Date:2011-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5079101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health