Provider Demographics
NPI:1609011410
Name:BYRON R NAVEY PHD INC
Entity Type:Organization
Organization Name:BYRON R NAVEY PHD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BYRON
Authorized Official - Middle Name:REED
Authorized Official - Last Name:NAVEY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:843-317-1881
Mailing Address - Street 1:323 S MCQUEEN ST
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501-4722
Mailing Address - Country:US
Mailing Address - Phone:843-992-9532
Mailing Address - Fax:843-332-1595
Practice Address - Street 1:323 S MCQUEEN ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-4722
Practice Address - Country:US
Practice Address - Phone:843-992-9532
Practice Address - Fax:843-332-1595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-08
Last Update Date:2015-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC840103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCP00199753OtherMETRAHEALTH