Individual
MRS. JORDAN ANN BYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
515 COUNTRY LAKE RD, SPRINGFIELD, IL 62711-6104
(217) 741-7457
Mailing address
515 COUNTRY LAKE RD, SPRINGFIELD, IL 62711-6104
(217) 741-7457
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.010729
IL
Other
Enumeration date
07/15/2013
Last updated
07/15/2013
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