Doctor Name: | DR. DAVID HAROLD BIRNEY |
NPI Number: | 1033110416 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHD |
License Number: | 523A |
Business Practice Address: | 510 W 29th St Cheyenne, WY - 820012760 |
Business Phone Number: | 3074264724 |
Business Fax Number: | |
Mailing Address: | 510 W 29th St, CHEYENNE |
State: | WY |
Postal Code: | 820012760 |
Phone Number: | 3074264724 |
Fax Number: | |
NPI Enumeration Date: | 08/09/2005 |
NPI Last Update Date: | 03/23/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 523A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |