Basic Information
| Provider Information | |||||||||
| NPI: | 1952384398 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | NAVEY | ||||||||
| FirstName: | BYRON | ||||||||
| MiddleName: | REED | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | PHD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 12331 | ||||||||
| Address2: | |||||||||
| City: | FLORENCE | ||||||||
| State: | SC | ||||||||
| PostalCode: | 295042331 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8436730054 | ||||||||
| FaxNumber: | 8436671549 | ||||||||
| Practice Location | |||||||||
| Address1: | 323 S MCQUEEN ST | ||||||||
| Address2: | |||||||||
| City: | FLORENCE | ||||||||
| State: | SC | ||||||||
| PostalCode: | 295014722 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8436730054 | ||||||||
| FaxNumber: | 8436671549 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/21/2005 | ||||||||
| LastUpdateDate: | 02/28/2014 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103TC0700X | 000840 | SC | Y | Behavioral Health & Social Service Providers | Psychologist | Clinical |
ID Information
| ID | Type | State | Issuer | Description | P00199753 | 01 | SC | METRAHEALTH | OTHER | 285012 | 01 | SC | MNH | OTHER | PVPB227046 | 01 | SC | APS | OTHER |