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NPI Code Detail

MEDICARE: MRS. SHANNON KATHLEEN BYRD MS,CCC-SLP

MEDICARE: MRS. SHANNON KATHLEEN BYRD MS,CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist101482TX

General Provider Information

NPI Number : 1558568329
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SHANNON KATHLEEN BYRD MS,CCC-SLP
Provider Business Mailing Address
First Line : 19100 W LAKE HOUSTON PKWY STE 104
Second Line :
City : HUMBLE
State : TX
Zip : 77346-5139
Country : US
Telephone Number : 281-812-9519
Fax Number : 281-812-5719
Provider Business Practice Location Address
First Line : 19100 W LAKE HOUSTON PKWY STE 104
Second Line :
City : HUMBLE
State : TX
Zip : 77346-5139
Country : US
Telephone Number : 281-812-9519
Fax Number : 281-812-5719
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. SHANNON KATHLEEN BYRD MS,CCC-SLP” Practice Location

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