Provider Demographics
NPI:1952384398
Name:NAVEY, BYRON REED (PHD)
Entity Type:Individual
Prefix:DR
First Name:BYRON
Middle Name:REED
Last Name:NAVEY
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 12331
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29504-2331
Mailing Address - Country:US
Mailing Address - Phone:843-673-0054
Mailing Address - Fax:843-667-1549
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:843-673-0054
Practice Address - Fax:843-667-1549
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-21
Last Update Date:2014-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC000840103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCP00199753OtherMETRAHEALTH
SC285012OtherMNH
SCPVPB227046OtherAPS
SCP00199753OtherMETRAHEALTH