Mary Ann Byerly, CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Apache Junction, AZ

NPI 1598973802 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1598973802
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SLP0422 (AZ)
Practice address
1358 S Val Vista Rd
Apache Junction, AZ 85219-7818
Phone
(480) 983-9842
Fax
(480) 983-3271
NPI assigned
May 18, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
SLP0422AZMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP0422 AZ Yes

Addresses

Primary practice location

1358 S Val Vista Rd
Apache Junction, AZ 85219-7818

Mailing address

1358 S Val Vista Rd
Apache Junction, AZ 85219-7818
Phone (480) 983-9842

Other providers in Apache Junction, AZ

All providers in Apache Junction, AZ · Speech-Language Pathologist in Arizona

Sources for this page

Verify at the official NPI Registry.