Provider Demographics
NPI:1629391123
Name:BYRNE, KATIE LYNN TONE (PSYD)
Entity Type:Individual
Prefix:MRS
First Name:KATIE
Middle Name:LYNN TONE
Last Name:BYRNE
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:MRS
Other - First Name:KATIE
Other - Middle Name:LYNN
Other - Last Name:TONE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD
Mailing Address - Street 1:8765 AERO DRIVE
Mailing Address - Street 2:SUITE 221
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123
Mailing Address - Country:US
Mailing Address - Phone:858-268-9800
Mailing Address - Fax:858-268-9810
Practice Address - Street 1:8765 AERO DRIVE
Practice Address - Street 2:SUITE 221
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123
Practice Address - Country:US
Practice Address - Phone:858-268-9800
Practice Address - Fax:858-268-9810
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-11
Last Update Date:2015-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
CAPSY27006103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No101Y00000XBehavioral Health & Social Service ProvidersCounselor