Provider Demographics
NPI:1629872783
Name:BYERS-GITH, SHARI (PPS)
Entity type:Individual
Prefix:
First Name:SHARI
Middle Name:
Last Name:BYERS-GITH
Suffix:
Gender:
Credentials:PPS
Other - Prefix:
Other - First Name:SHARI
Other - Middle Name:
Other - Last Name:BYERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PPS
Mailing Address - Street 1:2220 HIBISCUS DR
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95404-6184
Mailing Address - Country:US
Mailing Address - Phone:510-589-4463
Mailing Address - Fax:
Practice Address - Street 1:2665 DUTTON MDW
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95407-7730
Practice Address - Country:US
Practice Address - Phone:707-541-3715
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA240195389103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool