Healthcare Provider Details

I. General information

NPI: 1043453210
Provider Name (Legal Business Name): KEIRA M EYRE M.S. CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/16/2009
Last Update Date: 04/24/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

265 N CALDWELL CIR
DOWNINGTOWN PA
19335-4969
US

IV. Provider business mailing address

265 N CALDWELL CIR
DOWNINGTOWN PA
19335-4969
US

V. Phone/Fax

Practice location:
  • Phone: 484-999-4925
  • Fax:
Mailing address:
  • Phone: 484-999-4925
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSL011697
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: