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NPI Code Detail

MEDICARE: DR. EVAN BYER PSY. D.

MEDICARE: DR. EVAN BYER PSY. D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist071009027IL
2103TC0700XClinical PsychologistPY60931939WA

General Provider Information

NPI Number : 1083009575
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EVAN BYER PSY. D.
Provider Business Mailing Address
First Line : 101 ELLIOTT AVE W STE 500
Second Line :
City : SEATTLE
State : WA
Zip : 98119-4292
Country : US
Telephone Number : 206-708-6432
Fax Number :
Provider Business Practice Location Address
First Line : 101 ELLIOTT AVE W STE 500
Second Line :
City : SEATTLE
State : WA
Zip : 98119-4292
Country : US
Telephone Number : 206-708-6432
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2015
Last Update Date : 07/16/2021

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