Doctor Name: | MR. BYRON JOSEPH KUBIK |
NPI Number: | 1346509015 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MS, CCC-SLP |
License Number: | 22005321A |
Business Practice Address: | 12188a N Meridian St Suite 375 Carmel, IN - 460324406 |
Business Phone Number: | 3179261056 |
Business Fax Number: | 3178062338 |
Mailing Address: | 12188a N Meridian St, Suite 375 CARMEL |
State: | IN |
Postal Code: | 460324406 |
Phone Number: | 3179261056 |
Fax Number: | 3178062338 |
NPI Enumeration Date: | 05/15/2012 |
NPI Last Update Date: | 05/15/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 22005321A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
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 |