Provider Demographics
NPI:1952701278
Name:BYERS, AMY (MA/CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:
Last Name:BYERS
Suffix:
Gender:F
Credentials:MA/CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7550 STATE ROUTE 118
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45331-9395
Mailing Address - Country:US
Mailing Address - Phone:937-548-1013
Mailing Address - Fax:
Practice Address - Street 1:7550 STATE ROUTE 118
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:OH
Practice Address - Zip Code:45331-9395
Practice Address - Country:US
Practice Address - Phone:937-548-1013
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-25
Last Update Date:2014-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist