Individual
CHERRY BYRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC, SLP
Contact information
Practice address
12523 SPRING BROOK DR, EAGLE RIVER, AK 99577-7550
(907) 349-2112
Mailing address
12523 SPRING BROOK DR, EAGLE RIVER, AK 99577-7550
(907) 349-2112
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
204
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SP3223
—
AK
Enumeration date
08/05/2007
Last updated
08/05/2007
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