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NPI Code Detail

MEDICARE: DR. ANNE BYER PH.D.

MEDICARE: DR. ANNE BYER PH.D.
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
1103TC1900XCounseling Psychologist4049MN

General Provider Information

NPI Number : 1598152472
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANNE BYER PH.D.
Provider Business Mailing Address
First Line : 621 W LAKE ST
Second Line : 350 LYN-LAKE BUILDING
City : MINNEAPOLIS
State : MN
Zip : 55408-2949
Country : US
Telephone Number : 612-547-9990
Fax Number :
Provider Business Practice Location Address
First Line : 10000 HWY 55 STE 200
Second Line :
City : PLYMOUTH
State : MN
Zip : 55441-6433
Country : US
Telephone Number : 612-875-9548
Fax Number : 651-377-4318
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2015
Last Update Date : 11/10/2025

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