Doctor Name: | MICHAEL W OYER |
NPI Number: | 1063552438 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MA LMHC |
License Number: | 39000628 |
Business Practice Address: | 926 E Jackson Blvd Elkhart, IN - 465164351 |
Business Phone Number: | 5745226292 |
Business Fax Number: | 5745220481 |
Mailing Address: | 926 E Jackson Blvd, ELKHART |
State: | IN |
Postal Code: | 465164351 |
Phone Number: | 5745226292 |
Fax Number: | 5745220481 |
NPI Enumeration Date: | 02/07/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 39000628 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |