Basic Information
Provider Information
NPI: 1669594693
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BYER
FirstName: DANIEL
MiddleName: G
NamePrefix:  
NameSuffix:  
Credential: PSYD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1755 OREGON PIKE
Address2: SUITE 200
City: LANCASTER
State: PA
PostalCode: 176010000
CountryCode: US
TelephoneNumber: 7175815255
FaxNumber: 7175815259
Practice Location
Address1: 2550 KINGSTON ROAD
Address2: SUITE 211
City: YORK
State: PA
PostalCode: 174020000
CountryCode: US
TelephoneNumber: 7177555736
FaxNumber: 7177555738
Other Information
ProviderEnumerationDate: 04/03/2007
LastUpdateDate: 05/27/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YP2500X178002002ILN Behavioral Health & Social Service ProvidersCounselorProfessional
106H00000X166-000678ILN Behavioral Health & Social Service ProvidersMarriage & Family Therapist 
106H00000XMF00569PAN Behavioral Health & Social Service ProvidersMarriage & Family Therapist 
101YP2500X180.003490ILN Behavioral Health & Social Service ProvidersCounselorProfessional
106H00000X166.000678ILN Behavioral Health & Social Service ProvidersMarriage & Family Therapist 
103T00000XPS016625PAY Behavioral Health & Social Service ProvidersPsychologist 

No ID Information.


Home