Provider Demographics
NPI:1609153972
Name:BYERS, CHRISTINE D (MS, MFT)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:D
Last Name:BYERS
Suffix:
Gender:F
Credentials:MS, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2243 20TH AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94116-1809
Mailing Address - Country:US
Mailing Address - Phone:415-706-2593
Mailing Address - Fax:
Practice Address - Street 1:2120 MARKET ST STE 207
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94114-1375
Practice Address - Country:US
Practice Address - Phone:415-706-2593
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-14
Last Update Date:2011-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC37228106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist