Provider Demographics
NPI:1497994289
Name:BYKERK, FAYE MARIE (PLMHP)
Entity Type:Individual
Prefix:
First Name:FAYE
Middle Name:MARIE
Last Name:BYKERK
Suffix:
Gender:F
Credentials:PLMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 EAST C STREET
Mailing Address - Street 2:PO BOX 37
Mailing Address - City:ELMWOOD
Mailing Address - State:NE
Mailing Address - Zip Code:68349
Mailing Address - Country:US
Mailing Address - Phone:402-994-2002
Mailing Address - Fax:
Practice Address - Street 1:304 EAST C STREET
Practice Address - Street 2:
Practice Address - City:ELMWOOD
Practice Address - State:NE
Practice Address - Zip Code:68349
Practice Address - Country:US
Practice Address - Phone:402-994-2002
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-18
Last Update Date:2009-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE8715101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health