Provider Demographics
NPI:1649692856
Name:BYRD, JULIA
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:BYRD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2320 N PERKINS RD
Mailing Address - Street 2:
Mailing Address - City:STILLWATER
Mailing Address - State:OK
Mailing Address - Zip Code:74075-2203
Mailing Address - Country:US
Mailing Address - Phone:405-533-1865
Mailing Address - Fax:405-533-1866
Practice Address - Street 1:2320 N PERKINS RD
Practice Address - Street 2:
Practice Address - City:STILLWATER
Practice Address - State:OK
Practice Address - Zip Code:74075-2203
Practice Address - Country:US
Practice Address - Phone:405-533-1865
Practice Address - Fax:405-533-1866
Is Sole Proprietor?:No
Enumeration Date:2014-01-08
Last Update Date:2018-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1104237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist