Provider Demographics
NPI:1952607475
Name:BYRNE, KAY (MS CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:KAY
Middle Name:
Last Name:BYRNE
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 SWAN PL
Mailing Address - Street 2:
Mailing Address - City:SLINGERLANDS
Mailing Address - State:NY
Mailing Address - Zip Code:12159-9246
Mailing Address - Country:US
Mailing Address - Phone:518-439-0729
Mailing Address - Fax:
Practice Address - Street 1:1 MCGUFFEY LN
Practice Address - Street 2:
Practice Address - City:DELMAR
Practice Address - State:NY
Practice Address - Zip Code:12054-4133
Practice Address - Country:US
Practice Address - Phone:518-439-0729
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-31
Last Update Date:2011-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0102021235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist