Doctor Name: | DR. BYRON SKINNER |
NPI Number: | 1073568507 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMFT |
License Number: | 2980 |
Business Practice Address: | 1054 S Fort Hood St Killeen, TX - 765417437 |
Business Phone Number: | 2549533231 |
Business Fax Number: | 2549533236 |
Mailing Address: | 1054 S Fort Hood St, KILLEEN |
State: | TX |
Postal Code: | 765417437 |
Phone Number: | 2549533231 |
Fax Number: | 2549533236 |
NPI Enumeration Date: | 05/23/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 2980 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |