MEDICARE: MICHELLE M BYRON PSYD.

Medicare Provider Information

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	24426	TX
2	103TB0200X	Cognitive & Behavioral Psychologist	24426	TX
3	103TC0700X	Clinical Psychologist	24426	TX
4	103TC1900X	Counseling Psychologist	24426	TX
5	103TC2200X	Clinical Child & Adolescent Psychologist	24426	TX
6	106H00000X	Marriage & Family Therapist

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

NPI Number	:	1851302657
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE M BYRON PSYD.

Provider Business Mailing Address
First Line	:	9401 SOUTHWEST FWY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-1407
Country	:	US
Telephone Number	:	713-970-7000
Fax Number	:	713-970-7246

Provider Business Practice Location Address
First Line	:	7011 SOUTHWEST FWY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-2007
Country	:	US
Telephone Number	:	713-970-7000
Fax Number	:	713-970-7246

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2006
Last Update Date	:	12/27/2016

7011 SW FWY
HOUSTON, TX
77074-2007

Practice Phone: 713-222-4648
Practice Fax:

7011 SOUTHWEST FWY
HOUSTON, TX
77074-2007