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NPI Code Detail

MEDICARE: WENDY LYNN BYRD LMFT, LPC

MEDICARE:   WENDY LYNN BYRD  LMFT, LPC
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
1101YP2500XProfessional Counselor63017TX
2106H00000XMarriage & Family Therapist201148TX

General Provider Information

NPI Number : 1073762027
Entity Type Code : Individual
Provider Name (Legal Business Name) : WENDY LYNN BYRD LMFT, LPC
Provider Business Mailing Address
First Line : 9501 N CAPITAL OF TEXAS HWY
Second Line : SUITE 104
City : AUSTIN
State : TX
Zip : 78759-6606
Country : US
Telephone Number : 512-350-8015
Fax Number : 512-992-2373
Provider Business Practice Location Address
First Line : 3536 BEE CAVE RD
Second Line : SUITE 100
City : WEST LAKE HILLS
State : TX
Zip : 78746-6654
Country : US
Telephone Number : 512-350-8015
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2008
Last Update Date : 07/13/2011

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