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NPI Code Detail

MEDICARE: MARIE E BYRNE PHD CCC-SLP

MEDICARE:   MARIE E BYRNE  PHD 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 PathologistS0725MS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396745287
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIE E BYRNE PHD CCC-SLP
Provider Business Mailing Address
First Line : 1100 COLLEGE ST
Second Line : MUW-1340
City : COLUMBUS
State : MS
Zip : 39701-5800
Country : US
Telephone Number : 662-329-7270
Fax Number : 662-329-7460
Provider Business Practice Location Address
First Line : 1100 COLLEGE ST
Second Line : MUW-1340
City : COLUMBUS
State : MS
Zip : 39701-5800
Country : US
Telephone Number : 662-329-7270
Fax Number : 662-329-7460
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2005
Last Update Date : 07/08/2007

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Directions to “ MARIE E BYRNE PHD CCC-SLP” Practice Location

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