Provider Demographics
NPI:1578924585
Name:BYARD, CHELSEA AARON MARIE
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:AARON MARIE
Last Name:BYARD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CHELSEA
Other - Middle Name:AARON MARIE
Other - Last Name:HUMPERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:410 CELEBRATION PL
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CELEBRATION
Mailing Address - State:FL
Mailing Address - Zip Code:34747-5433
Mailing Address - Country:US
Mailing Address - Phone:321-939-3000
Mailing Address - Fax:321-939-3001
Practice Address - Street 1:410 CELEBRATION PL
Practice Address - Street 2:SUITE 100
Practice Address - City:CELEBRATION
Practice Address - State:FL
Practice Address - Zip Code:34747-5433
Practice Address - Country:US
Practice Address - Phone:321-939-3000
Practice Address - Fax:321-939-3001
Is Sole Proprietor?:No
Enumeration Date:2016-03-18
Last Update Date:2019-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY 2069231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist