Provider Demographics
NPI:1679054324
Name:BYRNE, ANNA MAY (LCSW)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:MAY
Last Name:BYRNE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:319 FRANKLIN AVE
Mailing Address - Street 2:
Mailing Address - City:CHELTENHAM
Mailing Address - State:PA
Mailing Address - Zip Code:19012-2027
Mailing Address - Country:US
Mailing Address - Phone:215-740-2056
Mailing Address - Fax:
Practice Address - Street 1:319 FRANKLIN AVE
Practice Address - Street 2:
Practice Address - City:CHELTENHAM
Practice Address - State:PA
Practice Address - Zip Code:19012-2027
Practice Address - Country:US
Practice Address - Phone:215-740-2056
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-21
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0193591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical