Provider Demographics
NPI:1285110619
Name:BYRNES, ELIZABETH RONAN (PSYD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:RONAN
Last Name:BYRNES
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100B DANBURY ROAD
Mailing Address - Street 2:SUITE 105E
Mailing Address - City:RIDGEFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06877
Mailing Address - Country:US
Mailing Address - Phone:203-212-8447
Mailing Address - Fax:
Practice Address - Street 1:100B DANBURY ROAD
Practice Address - Street 2:SUITE 105E
Practice Address - City:RIDGEFIELD
Practice Address - State:CT
Practice Address - Zip Code:06877
Practice Address - Country:US
Practice Address - Phone:203-212-8447
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-18
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022728103T00000X
CT003840103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist