NPI 1619168762 · live from the CMS NPI Registry
Cherry Byrd, MS, CCC, SLP
Speech-Language Pathologist, in Eagle River, AK. National Provider Identifier 1619168762, active.
NPI record
| NPI | 1619168762 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 12523 Spring Brook Dr, Eagle River, AK 99577 |
| Practice phone | 907-349-2112 |
| Enumerated | August 5, 2007 |
| Last updated | August 5, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 204 (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.