Doctor Name: | RHONDA S BYRNE |
NPI Number: | 1295979037 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMSW |
License Number: | 6801063950 |
Business Practice Address: | 1195 E Wilcox Ave White Cloud, MI - 493498673 |
Business Phone Number: | 2316896701 |
Business Fax Number: | 2316896702 |
Mailing Address: | 1095 3rd St, MUSKEGON |
State: | MI |
Postal Code: | 494411976 |
Phone Number: | 2317264735 |
Fax Number: | 2317220789 |
NPI Enumeration Date: | 04/23/2009 |
NPI Last Update Date: | 04/23/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 6801063950 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |