| Amy K Byerley Phd Plc | |
|
9011 N Wolven Ridge Ct Rockford MI 49341-9384 | |
| (616) 902-2404 | |
| Not Available |
| Full Name | Amy K Byerley Phd Plc |
|---|---|
| Speciality | Psychologist |
| Location | 9011 N Wolven Ridge Ct, Rockford, Michigan |
| Authorized Official Name and Position | Marybeth Houpt (CREDENTIALING) |
| Authorized Official Contact | 5176769797 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amy K Byerley Phd Plc Po Box 10 Mason MI 48854-0010 Ph: () - | Amy K Byerley Phd Plc 9011 N Wolven Ridge Ct Rockford MI 49341-9384 Ph: (616) 902-2404 |
| NPI Number | 1306451539 |
|---|---|
| Provider Enumeration Date | 09/14/2020 |
| Last Update Date | 11/06/2024 |
| Certification Date | 11/06/2024 |
| Medicare PECOS PAC ID | 6608296017 |
|---|---|
| Medicare Enrollment ID | O20201022002948 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306451539 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Amy Kristine Byerley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144577396 PECOS PAC ID: 5799933677 Enrollment ID: I20120918000877 |
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