| Doctor Name: | KIRT BAAB |
| NPI Number: | 1033515317 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 6801089941 |
| Business Practice Address: | 2870 Cluster Dr Apt 3 Traverse City, MI - 496857395 |
| Business Phone Number: | 2319440407 |
| Business Fax Number: | |
| Mailing Address: | 2870 Cluster Dr, Apt 3 TRAVERSE CITY |
| State: | MI |
| Postal Code: | 496857395 |
| Phone Number: | 2319440407 |
| Fax Number: | |
| NPI Enumeration Date: | 11/13/2014 |
| NPI Last Update Date: | 11/13/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 6801089941 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |