1811107428 NPI number — FIONA CAROLINE BYRNE-FLORES M.S., CCC-SLP

Table of content: FIONA CAROLINE BYRNE-FLORES M.S., CCC-SLP (NPI 1811107428)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1811107428 NPI number — FIONA CAROLINE BYRNE-FLORES M.S., CCC-SLP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BYRNE-FLORES
Provider First Name:
FIONA
Provider Middle Name:
CAROLINE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.S., 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:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1811107428
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
907 WILDWOOD AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MOBILE
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
36609-3051
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
251-345-1915
Provider Business Mailing Address Fax Number:
251-345-1915

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6801 AIRPORT BLVD
Provider Second Line Business Practice Location Address:
REHABILITATIVE SERVICES
Provider Business Practice Location Address City Name:
MOBILE
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
36608-3709
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
251-633-1440
Provider Business Practice Location Address Fax Number:
251-633-1434
Provider Enumeration Date:
05/23/2007

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:  1582 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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