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NPI Code Detail

MEDICARE: TYKEYIA BYRD

MEDICARE: TYKEYIA BYRD
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
11041C0700XClinical Social Worker44SC05730800NJ
2104100000XSocial Worker44SL05530900NJ

General Provider Information

NPI Number : 1740732718
Entity Type Code : Individual
Provider Name (Legal Business Name) : TYKEYIA BYRD
Provider Business Mailing Address
First Line : PO BOX 634
Second Line :
City : NEPTUNE
State : NJ
Zip : 07754-0634
Country : US
Telephone Number : 732-780-2012
Fax Number :
Provider Business Practice Location Address
First Line : 22 COURT ST
Second Line :
City : FREEHOLD
State : NJ
Zip : 07728-1700
Country : US
Telephone Number : 732-780-2012
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2016
Last Update Date : 11/15/2022

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Directions to “ TYKEYIA BYRD ” Practice Location

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