Doctor Name: | DR. EVAN BYER |
NPI Number: | 1083009575 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PSY. D. |
License Number: | 071009027 |
Business Practice Address: | 910 Skokie Blvd Suite 215 Northbrook, IL - 600624013 |
Business Phone Number: | 8474800300 |
Business Fax Number: | 8472910576 |
Mailing Address: | 910 Skokie Blvd, Suite 215 NORTHBROOK |
State: | IL |
Postal Code: | 600624013 |
Phone Number: | 8474800300 |
Fax Number: | 8472910576 |
NPI Enumeration Date: | 04/01/2015 |
NPI Last Update Date: | 04/01/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 071009027 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |