Provider Demographics
NPI:1376685552
Name:BYRD, HELEN E (PHD)
Entity Type:Individual
Prefix:DR
First Name:HELEN
Middle Name:E
Last Name:BYRD
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2935 KENNY RD
Mailing Address - Street 2:SUITE 140
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43221-2429
Mailing Address - Country:US
Mailing Address - Phone:614-457-9779
Mailing Address - Fax:
Practice Address - Street 1:2935 KENNY RD
Practice Address - Street 2:SUITE 140
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43221-2429
Practice Address - Country:US
Practice Address - Phone:614-457-9779
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2801103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0004421392OtherAETNA
OH000000115305OtherANTHEM BLUE CROSS BLUE SH