Provider Demographics
NPI:1962620864
Name:BYERS, ALISON (PSYD)
Entity type:Individual
Prefix:MS
First Name:ALISON
Middle Name:
Last Name:BYERS
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 1:10335 NASSAU POINT ROAD
Mailing Address - Street 2:
Mailing Address - City:CUTCHOGUE
Mailing Address - State:NY
Mailing Address - Zip Code:11935
Mailing Address - Country:US
Mailing Address - Phone:631-288-1954
Mailing Address - Fax:631-288-1955
Practice Address - Street 1:10335 NASSAU POINT ROAD
Practice Address - Street 2:
Practice Address - City:CUTCHOGUE
Practice Address - State:NY
Practice Address - Zip Code:11935
Practice Address - Country:US
Practice Address - Phone:631-298-3543
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016366-1174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist