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1831238229

NPI Code Detail

MEDICARE: ELAINE C BYRD CCC-SLP

MEDICARE: ELAINE C BYRD 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
1	235Z00000X	Speech-Language Pathologist	8805	NC
2	235Z00000X	Speech-Language Pathologist	LL00002908	WA
3	235Z00000X	Speech-Language Pathologist	SLP.5227	SC
4	235Z00000X	Speech-Language Pathologist	SLP-2180	WV

Other Identifiers

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

General Provider Information

NPI Number	:	1831238229
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELAINE C BYRD CCC-SLP

Provider Business Mailing Address
First Line	:	1 JOHN MARSHALL DR DEPT OF
Second Line	:
City	:	HUNTINGTON
State	:	WV
Zip	:	25755-0003
Country	:	US
Telephone Number	:	304-696-3641
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 JOHN MARSHALL DR DEPT OF
Second Line	:
City	:	HUNTINGTON
State	:	WV
Zip	:	25755-0003
Country	:	US
Telephone Number	:	304-696-3641
Fax Number	:	304-696-2986

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

Provider Enumeration Date	:	02/05/2007
Last Update Date	:	01/03/2022

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Directions to “ ELAINE C BYRD CCC-SLP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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