Provider Demographics
NPI:1346509015
Name:KUBIK, BYRON JOSEPH (MS, CCC-SLP)
Entity type:Individual
Prefix:MR
First Name:BYRON
Middle Name:JOSEPH
Last Name:KUBIK
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Gender:
Credentials:MS, CCC-SLP
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Other - First Name:
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Mailing Address - Street 1:12188A N MERIDIAN ST
Mailing Address - Street 2:SUITE 375
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-4406
Mailing Address - Country:US
Mailing Address - Phone:317-926-1056
Mailing Address - Fax:317-806-2338
Practice Address - Street 1:12188A N MERIDIAN ST
Practice Address - Street 2:SUITE 375
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-4406
Practice Address - Country:US
Practice Address - Phone:317-926-1056
Practice Address - Fax:317-806-2338
Is Sole Proprietor?:No
Enumeration Date:2012-05-15
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN22005321A235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist