Doris M Van Byssum in Glen Ellyn - Psychiatric/mental Health
Doris M Van Byssum - NPI 1063515369
Doris M Van Byssum is a Psychiatric/mental Health in Glen Ellyn, Illinois. Doris M Van Byssum practices all healthcare services and medical treatments related to Psychiatric/mental Health. The NPI Number for Doris M Van Byssum is 1063515369. The last update date is 2017-03-14.
Doris M Van Byssum's current location address is 174 S Montclair Ave, Glen Ellyn, Illinois. You can contact this provider via phone number 6308580875 and fax number 6308580650. The mailing address for Doris M Van Byssum is 174 S Montclair Ave, Glen Ellyn, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Doris M Van Byssum |
|---|---|
| Address | 174 S Montclair Ave, Glen Ellyn, Illinois |
| Phone Number | 6308580875 |
| Fax Number | 6308580650 |
| Sole Proprietor | N |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1063515369 |
|---|---|
| Provider Enumeration Date | 2006-09-06 |
| Last Updated Date | 2017-03-14 |
Provider Mailing Address Detail
| Address | 174 S Montclair Ave |
|---|---|
| City | Glen Ellyn |
| State | Illinois (IL) |
| Post Code | 601376357 |
| Phone Number | 6308580875 |
| Fax Number | 6308580650 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric/mental Health |
|---|---|
| Taxonomy | 363Lp0808X |
| Licence No | 209.01052704 |
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Definition: An advanced practice registered nurse expert in providing psychiatric and mental healthcare services. |
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What is the unique identifier code issued to Doris M Van Byssum by the Centers for Medicare & Medicaid Services?
The Doris M Van Byssum has been assigned the NPI (National Provider Identifier) 1063515369. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Doris M Van Byssum located?
The Doris M Van Byssum is located at 174 S Montclair Ave, Glen Ellyn, IL 601376357.
What is Doris M Van Byssum's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Doris M Van Byssum is Psychiatric/mental Health, and the taxonomy code that categorizes this field of expertise is 363Lp0808X.
When was the Doris M Van Byssum's 1063515369 issued?
The Doris M Van Byssum's 1063515369 was issued on 2006-09-06.
As of what date were the details pertaining to Doris M Van Byssum last refreshed?
The information related to the Doris M Van Byssum, including its address, specialty, and other relevant details, was last updated on 2017-03-14.