Provider Demographics
NPI:1578924585
Name:BYARD, CHELSEA AARON MARIE
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:AARON MARIE
Last Name:BYARD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CHELSEA
Other - Middle Name:AARON MARIE
Other - Last Name:HUMPERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:120 E WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46204-1312
Mailing Address - Country:US
Mailing Address - Phone:317-226-4128
Mailing Address - Fax:317-226-3465
Practice Address - Street 1:120 E WALNUT ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46204-1312
Practice Address - Country:US
Practice Address - Phone:317-226-4128
Practice Address - Fax:317-226-3465
Is Sole Proprietor?:No
Enumeration Date:2016-03-18
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN23002731A231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist