Individual provider · Type 1 NPI
Ivy Byun, PhD, LPC
Professional Counselor · Fort Worth, TX
NPI number
1003535006
Active
Practice location
6300 John Ryan Dr
Fort Worth, TX 76132-4122
Fax (817) 922-5955
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 74711 (TX) |
Professional Counselor: Definition to come...
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About NPI 1003535006
Ivy Byun, PhD, LPC's National Provider Identifier is 1003535006, issued on Aug 23, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fort Worth, TX. The record was last updated on Aug 25, 2022.