# MR. JOHN PATRICK BYRNE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1982674495
- **Gender:** Man
- **Credential:** LCSW

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 135723-3501 | UT | Yes |

## Other

- **Enumeration date:** 01/25/2006
- **Last updated:** 03/17/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 107002316101 | INTERMOUNTAIN HEALTH CARE | UT |
| 01 | — | 35510 | DESERET MUTUAL | UT |
| 01 | — | 942938348006 | CHAMPUS | UT |
| 01 | — | 942938348BY1 | EDUCATORS MUTUAL | UT |