Doctor Name: | MS. BIANCA M. BYERS |
NPI Number: | 1174827216 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.C.S.W |
License Number: | 44SC05436300 |
Business Practice Address: | 166 Main St Matawan, NJ - 077473104 |
Business Phone Number: | 7322909040 |
Business Fax Number: | 7325660433 |
Mailing Address: | 166 Main St, MATAWAN |
State: | NJ |
Postal Code: | 077473104 |
Phone Number: | 7322909040 |
Fax Number: | 7325660433 |
NPI Enumeration Date: | 01/04/2011 |
NPI Last Update Date: | 01/04/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 44SC05436300 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |