MEDICARE: TAYLOR SALERNO CCC-SLP; TSSLD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1205767332
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAYLOR SALERNO CCC-SLP; TSSLD

Provider Business Mailing Address
First Line	:	1135 WESTCHESTER AVE UNIT 1203
Second Line	:
City	:	WHITE PLAINS
State	:	NY
Zip	:	10604-3559
Country	:	US
Telephone Number	:	718-796-9434
Fax Number	:

Provider Business Practice Location Address
First Line	:	260 W KINGSBRIDGE RD
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10463-7346
Country	:	US
Telephone Number	:	718-796-9434
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2026
Last Update Date	:	05/27/2026

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Directions to “ TAYLOR SALERNO CCC-SLP; TSSLD” Practice Location

Language	Start Address	Practice Location

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