National Provider Identifier

Kyle D Houser, M.ED., M.A., CBIST

Kyle D Houser, M.ED., M.A., CBIST is listed in the NPPES registry with a primary specialty of Specialist in Newark, NY and a listed phone number of (315) 331-9666.

NPI 1265627756Newark, NYSpecialist

Profile Overview

NPI
1265627756
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
September 08, 2007
Last Updated
September 08, 2007

Practice Location

  • 402 Grace Ave
  • Newark, NY 14513-2115

Phone: (315) 331-9666

Specialties

  • Specialist (174400000X)
Full Record
NPI
1265627756
Entity Type
Individual
Last Name
Houser
First Name
Kyle
Middle Name
D
Name Prefix
Mr.
Credential
M.ED., M.A., CBIST
Mailing Street Address
402 Grace Ave
Mailing City
Newark
Mailing State
NY
Mailing ZIP Code
14513-2115
Mailing Country
US
Mailing Phone
(315) 331-9666
Mailing Fax
(315) 331-1663
Practice Street Address
402 Grace Ave
Practice City
Newark
Practice State
NY
Practice ZIP Code
14513-2115
Practice Country
US
Practice Phone
(315) 331-9666
Practice Fax
(315) 331-1663
Enumeration Date
September 08, 2007
Last Updated
September 08, 2007
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)
Other Identifiers
01799320 (NY)