Provider Demographics
NPI:1154539575
Name:BYERS, CHRIS (MA, CCC-SLP)
Entity type:Individual
Prefix:
First Name:CHRIS
Middle Name:
Last Name:BYERS
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5012 CHESEBRO RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:AGOURA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91301-2272
Mailing Address - Country:US
Mailing Address - Phone:818-419-1123
Mailing Address - Fax:
Practice Address - Street 1:5012 CHESEBRO RD
Practice Address - Street 2:SUITE 101
Practice Address - City:AGOURA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91301-2272
Practice Address - Country:US
Practice Address - Phone:818-419-1123
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2009-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP10464235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist