Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 4930 | OH |
Y | 103TC0700X | Clinical Psychologist | 4930 | OH |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 4930 | OH |
NPI | 1023041829 |
---|---|
Provider Name | Anna W Byars |
First Address | Cincinnati, OH 45229-3039 |
Second Address | Cincinnati, OH 45229-3026 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2006 |
Last Update Date | 20/06/2019 |