Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor | PA |
NPI | 1235535337 |
---|---|
Provider Name | Mr. Andrew Byard JR. |
First Address | Phila, PA 19146-2828 |
Second Address | Phila, PA 19146-2828 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/11/2014 |
Last Update Date | 17/11/2014 |