Provider Demographics
NPI:1447580956
Name:BYINGTON, CARLOTTA SUZANNE (PSYD)
Entity Type:Individual
Prefix:
First Name:CARLOTTA
Middle Name:SUZANNE
Last Name:BYINGTON
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:CARLY
Other - Middle Name:
Other - Last Name:WEBB
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1140 10TH ST STE 201
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-7053
Mailing Address - Country:US
Mailing Address - Phone:408-758-1424
Mailing Address - Fax:503-640-5780
Practice Address - Street 1:1140 10TH ST.
Practice Address - Street 2:SUITE 219
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225
Practice Address - Country:US
Practice Address - Phone:408-758-1424
Practice Address - Fax:503-640-5780
Is Sole Proprietor?:No
Enumeration Date:2010-01-05
Last Update Date:2021-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY60805684103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical