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General NPI Number Information
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NPI Number | 1306451539
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Entity Type | Organization
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Legal Business Name | AMY K BYERLEY PHD PLC
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Dates
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Enumeration Date | 09/14/2020
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Last Update Date | 11/06/2024
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Provider Practice Location Address
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Address Line | 9011 N WOLVEN RIDGE CT
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City | ROCKFORD
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State | MI
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Zip | 49341-9384
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Country | US
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Telephone | 616-902-2404
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 10
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City | MASON
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State | MI
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Zip | 48854-0010
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING
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Name | MARYBETH HOUPT
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Credential |
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Telephone | 517-676-9797
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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