MEDICARE: MS. MARGARET WILKINSON BYNOE BA

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
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1063733277
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARGARET WILKINSON BYNOE BA

Provider Business Mailing Address
First Line	:	2525 SE HEMSING ST
Second Line	:
City	:	PORT ST LUCIE
State	:	FL
Zip	:	34984-5223
Country	:	US
Telephone Number	:	772-878-1916
Fax Number	:	772-878-1916

Provider Business Practice Location Address
First Line	:	2525 SE HEMSING ST
Second Line	:
City	:	PORT ST LUCIE
State	:	FL
Zip	:	34984-5223
Country	:	US
Telephone Number	:	772-878-1916
Fax Number	:	772-878-1916

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

Provider Enumeration Date	:	06/22/2010
Last Update Date	:	06/22/2010

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