1881842763 NPI number — MRS. MICHELLE ARCHER SYKES MS, CCC-SLP

Table of content: MRS. MICHELLE ARCHER SYKES MS, CCC-SLP (NPI 1881842763)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881842763 NPI number — MRS. MICHELLE ARCHER SYKES MS, CCC-SLP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SYKES
Provider First Name:
MICHELLE
Provider Middle Name:
ARCHER
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MS, CCC-SLP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ARCHER
Provider Other First Name:
MICHELLE
Provider Other Middle Name:
ANN
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
MS, CCC-SLP
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1881842763
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/24/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1970 ROANOKE BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SALEM
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
24153-6404
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
540-982-2463
Provider Business Mailing Address Fax Number:
540-983-1083

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2118 MOUNT VERNON RD SW
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ROANOKE
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
24015-3612
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
540-344-3122
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/03/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 235Z00000X , with the licence number:  2202002370 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)