Provider Demographics
NPI:1972805109
Name:GAY LYN BYRD, M.ED., CCC/SLP
Entity Type:Organization
Organization Name:GAY LYN BYRD, M.ED., CCC/SLP
Other - Org Name:COMMUNICATION ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:GAY
Authorized Official - Middle Name:LYN
Authorized Official - Last Name:BYRD
Authorized Official - Suffix:
Authorized Official - Credentials:MED, CCC/SLP
Authorized Official - Phone:405-410-5047
Mailing Address - Street 1:4625 FAWN RUN DRIVE
Mailing Address - Street 2:
Mailing Address - City:YUKON
Mailing Address - State:OK
Mailing Address - Zip Code:73099-2341
Mailing Address - Country:US
Mailing Address - Phone:405-410-5047
Mailing Address - Fax:888-523-6071
Practice Address - Street 1:200 S. RANCHWOOD SUITE 17
Practice Address - Street 2:
Practice Address - City:YUKON
Practice Address - State:OK
Practice Address - Zip Code:73099-2341
Practice Address - Country:US
Practice Address - Phone:405-410-5047
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-19
Last Update Date:2015-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2977235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty