Heather A Byrne Phd Psychological Services Llc | |
14135 N Cedarburg Rd Mequon WI 53097-1416 | |
(262) 377-2006 | |
Not Available |
Full Name | Heather A Byrne Phd Psychological Services Llc |
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Speciality | Psychologist |
Location | 14135 N Cedarburg Rd, Mequon, Wisconsin |
Authorized Official Name and Position | Heather A Byrne (MANAGING MEMBER) |
Authorized Official Contact | 4145888822 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Heather A Byrne Phd Psychological Services Llc N49w7209 Western Rd Cedarburg WI 53012-1711 Ph: () - | Heather A Byrne Phd Psychological Services Llc 14135 N Cedarburg Rd Mequon WI 53097-1416 Ph: (262) 377-2006 |
NPI Number | 1154679231 |
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Provider Enumeration Date | 08/21/2012 |
Last Update Date | 08/21/2012 |
Medicare PECOS PAC ID | 2062783285 |
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Medicare Enrollment ID | O20170807002454 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154679231 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103T00000X | Psychologist | (* (Not Available)) | Primary |
Provider Name | Heather A Byrne |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1942219589 PECOS PAC ID: 3870520885 Enrollment ID: I20050721000394 |
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