Provider Demographics
NPI:1902382070
Name:BYRNE, EMILY JOYE (SLP INTERN)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:JOYE
Last Name:BYRNE
Suffix:
Gender:F
Credentials:SLP INTERN
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:JOYE
Other - Last Name:ANDERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:305 NE LOOP 820 STE 200
Mailing Address - Street 2:
Mailing Address - City:HURST
Mailing Address - State:TX
Mailing Address - Zip Code:76053-7211
Mailing Address - Country:US
Mailing Address - Phone:817-292-8787
Mailing Address - Fax:817-789-6849
Practice Address - Street 1:2700 EARL RUDDER FWY S STE 1200
Practice Address - Street 2:
Practice Address - City:COLLEGE STATION
Practice Address - State:TX
Practice Address - Zip Code:77845-2810
Practice Address - Country:US
Practice Address - Phone:979-307-5850
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-12
Last Update Date:2018-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX114742235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist