MEDICARE: EMILY BYERS CHANEY

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
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1659142180
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY BYERS CHANEY

Provider Business Mailing Address
First Line	:	3621 BAGLEY AVE APT 3
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90034-7430
Country	:	US
Telephone Number	:	909-801-9009
Fax Number	:

Provider Business Practice Location Address
First Line	:	3621 BAGLEY AVE APT 3
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90034-7430
Country	:	US
Telephone Number	:	909-801-9009
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2024
Last Update Date	:	07/22/2025

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Directions to “ EMILY BYERS CHANEY ” Practice Location

Language	Start Address	Practice Location

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