Doctor Name: | BRANDON S BYKOWSKI |
NPI Number: | 1033469754 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSW, LCSW |
License Number: | 519 |
Business Practice Address: | 1541 Annex Rd Jefferson, WI - 535499803 |
Business Phone Number: | 9206743105 |
Business Fax Number: | 9206746113 |
Mailing Address: | 1541 Annex Rd, JEFFERSON |
State: | WI |
Postal Code: | 535499803 |
Phone Number: | 9206743105 |
Fax Number: | 9206746113 |
NPI Enumeration Date: | 09/11/2012 |
NPI Last Update Date: | 02/01/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 519 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |