Healthcare Provider Details

I. General information

NPI: 1669594693
Provider Name (Legal Business Name): DANIEL G BYER PSYD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2007
Last Update Date: 03/10/2026
Certification Date: 03/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1287 VILLAGE DR
SPRING GROVE PA
17362-8580
US

IV. Provider business mailing address

1287 VILLAGE DR
SPRING GROVE PA
17362-8580
US

V. Phone/Fax

Practice location:
  • Phone: 717-430-1084
  • Fax:
Mailing address:
  • Phone: 717-430-1084
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number180.003490
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMF00569
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number166.000678
License Number StateIL
# 4
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPS016625
License Number StatePA
# 5
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number178002002
License Number StateIL
# 6
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number166-000678
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: