Doctor Name: | CRISTA A BYROM |
NPI Number: | 1235387101 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC-SLP |
License Number: | |
Business Practice Address: | 19209 N 54th Ln Glendale, AZ - 853084947 |
Business Phone Number: | 7143306798 |
Business Fax Number: | 7143306798 |
Mailing Address: | 19209 N 54th Ln, GLENDALE |
State: | AZ |
Postal Code: | 853084947 |
Phone Number: | 7143306798 |
Fax Number: | 7143306798 |
NPI Enumeration Date: | 09/04/2008 |
NPI Last Update Date: | 03/09/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |