Provider Demographics
NPI:1629840574
Name:BRYNER - ENGLE, SKYE
Entity Type:Individual
Prefix:
First Name:SKYE
Middle Name:
Last Name:BRYNER - ENGLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SKYE
Other - Middle Name:
Other - Last Name:BRINGHURST
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:8323 N SHANNON RD UNIT 10102
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85742-9551
Mailing Address - Country:US
Mailing Address - Phone:801-882-1927
Mailing Address - Fax:
Practice Address - Street 1:7534 S CIRCULO RIO BLANCO
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85756-8402
Practice Address - Country:US
Practice Address - Phone:317-430-5533
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-24
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLPA148982355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant