Provider Demographics
NPI:1598986028
Name:KIRALY, BRYAN JULIUS (MS CCC-SLP)
Entity Type:Individual
Prefix:MR
First Name:BRYAN
Middle Name:JULIUS
Last Name:KIRALY
Suffix:
Gender:M
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 AVENUE C
Mailing Address - Street 2:
Mailing Address - City:SCHUYLKILL HAVEN
Mailing Address - State:PA
Mailing Address - Zip Code:17972
Mailing Address - Country:US
Mailing Address - Phone:570-385-5601
Mailing Address - Fax:
Practice Address - Street 1:125 AVENUE C
Practice Address - Street 2:
Practice Address - City:SCHUYLKILL HAVEN
Practice Address - State:PA
Practice Address - Zip Code:17972
Practice Address - Country:US
Practice Address - Phone:570-385-5601
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL006439L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist