Doctor Name: | MISS ALYSON BROOKE BYARD |
NPI Number: | 1497057145 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMSW-CC |
License Number: | MC12709 |
Business Practice Address: | 177 N Main St Strong, ME - 04983 |
Business Phone Number: | 2076844010 |
Business Fax Number: | 2076843368 |
Mailing Address: | 177 N Main St, STRONG |
State: | ME |
Postal Code: | 04983 |
Phone Number: | 2076844010 |
Fax Number: | 2076843368 |
NPI Enumeration Date: | 12/01/2010 |
NPI Last Update Date: | 07/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | MC12709 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |