Doctor Name: | MRS. SARAH LYNN BYLSMA |
NPI Number: | 1003162884 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMSW |
License Number: | 6801088897 |
Business Practice Address: | 1471 Grace St Se Grand Rapids, MI - 495061678 |
Business Phone Number: | 6169132006 |
Business Fax Number: | 6169132005 |
Mailing Address: | 1471 Grace St Se, GRAND RAPIDS |
State: | MI |
Postal Code: | 495061678 |
Phone Number: | 6169132006 |
Fax Number: | 6169132005 |
NPI Enumeration Date: | 07/30/2012 |
NPI Last Update Date: | 07/30/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 6801088897 |
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 |