| Doctor Name: | TYSON BAIZE |
| NPI Number: | 1104885433 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSW, LCSW |
| License Number: | 2004007336 |
| Business Practice Address: | 5717 Chapel Dr Osage Beach, MO - 650653049 |
| Business Phone Number: | 5733171202 |
| Business Fax Number: | |
| Mailing Address: | 73 Winston Ct, CAMDENTON |
| State: | MO |
| Postal Code: | 650202426 |
| Phone Number: | 5738739886 |
| Fax Number: | |
| NPI Enumeration Date: | 03/23/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 2004007336 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |