MEDICARE: JULIE BYRNE SLP-CCC

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	7515	OH

General Provider Information

NPI Number	:	1730606633
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE BYRNE SLP-CCC

Provider Business Mailing Address
First Line	:	1730 MEARS AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45230-1908
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1730 MEARS AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45230-1908
Country	:	US
Telephone Number	:	513-363-3853
Fax Number	:

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

Provider Enumeration Date	:	08/23/2017
Last Update Date	:	08/23/2017

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Directions to “ JULIE BYRNE SLP-CCC” Practice Location

Language	Start Address	Practice Location

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