Provider Demographics
NPI:1932275666
Name:BYERS, JANE ANDREWS (MED MS)
Entity type:Individual
Prefix:MRS
First Name:JANE
Middle Name:ANDREWS
Last Name:BYERS
Suffix:
Gender:F
Credentials:MED MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 S EDMONDS LANE
Mailing Address - Street 2:SUITE 120
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75067-3554
Mailing Address - Country:US
Mailing Address - Phone:972-221-1609
Mailing Address - Fax:
Practice Address - Street 1:650 S EDMONDS LANE
Practice Address - Street 2:SUITE 120
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75067-3554
Practice Address - Country:US
Practice Address - Phone:972-221-1609
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10021101YP2500X
TX001602-001618106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist