Doctor Name: | MS. HEIDI A BYRNES |
NPI Number: | 1366510950 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, CAPSW |
License Number: | 488 |
Business Practice Address: | 627 Main St Darlington, WI - 535301395 |
Business Phone Number: | 6087764800 |
Business Fax Number: | 6087764914 |
Mailing Address: | 627 Main St, DARLINGTON |
State: | WI |
Postal Code: | 535301395 |
Phone Number: | 6087764800 |
Fax Number: | 6087764914 |
NPI Enumeration Date: | 12/01/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 488 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |