Provider Demographics
NPI:1376372664
Name:BYERS, DAVID CHRISTOPHER (MS)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:CHRISTOPHER
Last Name:BYERS
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:DAVE
Other - Middle Name:
Other - Last Name:BYERS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:644 POLLASKY AVE STE 203
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93612-1883
Mailing Address - Country:US
Mailing Address - Phone:559-202-3949
Mailing Address - Fax:
Practice Address - Street 1:644 POLLASKY AVE STE 203
Practice Address - Street 2:
Practice Address - City:CLOVIS
Practice Address - State:CA
Practice Address - Zip Code:93612-1883
Practice Address - Country:US
Practice Address - Phone:559-202-3949
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-26
Last Update Date:2024-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA147942106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist