Healthcare Provider Details

I. General information

NPI: 1922348176
Provider Name (Legal Business Name): JAMIE A.W. BYRNE M.A. CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/26/2013
Last Update Date: 08/02/2026
Certification Date: 08/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

395 S PRATT PKWY
LONGMONT CO
80501-6436
US

IV. Provider business mailing address

395 S PRATT PKWY
LONGMONT CO
80501-6436
US

V. Phone/Fax

Practice location:
  • Phone: 303-776-6200
  • Fax:
Mailing address:
  • Phone: 303-776-6200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSLP.0007050
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: