Doctor Name: | MRS. LINDA IRENE BYRUM |
NPI Number: | 1306961370 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., LPC, LSOTP |
License Number: | 16418 |
Business Practice Address: | 2051 W Wheeler Ave Suite #4 Aransas Pass, TX - 783364762 |
Business Phone Number: | 3613183185 |
Business Fax Number: | 3617760911 |
Mailing Address: | Po Box 544, INGLESIDE |
State: | TX |
Postal Code: | 783620544 |
Phone Number: | 3613183185 |
Fax Number: | 3617760911 |
NPI Enumeration Date: | 03/20/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 16418 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |