| Heather A Byrne Phd Psychological Services Llc | |
|
14135 N Cedarburg Rd Mequon WI 53097-1416 | |
| (262) 377-2006 | |
| Not Available |
| Full Name | Heather A Byrne Phd Psychological Services Llc |
|---|---|
| Speciality | Psychologist |
| Location | 14135 N Cedarburg Rd, Mequon, Wisconsin |
| Authorized Official Name and Position | Heather A Byrne (MANAGING MEMBER) |
| Authorized Official Contact | 4145888822 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heather A Byrne Phd Psychological Services Llc N49w7209 Western Rd Cedarburg WI 53012-1711 Ph: () - | Heather A Byrne Phd Psychological Services Llc 14135 N Cedarburg Rd Mequon WI 53097-1416 Ph: (262) 377-2006 |
| NPI Number | 1154679231 |
|---|---|
| Provider Enumeration Date | 08/21/2012 |
| Last Update Date | 08/21/2012 |
| Medicare PECOS PAC ID | 2062783285 |
|---|---|
| Medicare Enrollment ID | O20170807002454 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154679231 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Heather A Byrne |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942219589 PECOS PAC ID: 3870520885 Enrollment ID: I20050721000394 |
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