MEDICARE: TAYLOR MARIE KOCAN MA, CCC-SLP

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		OH

General Provider Information

NPI Number	:	1548836331
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAYLOR MARIE KOCAN MA, CCC-SLP

Provider Business Mailing Address
First Line	:	4273 TIMBER VALLEY DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43230-1593
Country	:	US
Telephone Number	:	330-421-0994
Fax Number	:	317-520-8200

Provider Business Practice Location Address
First Line	:	4273 TIMBER VALLEY DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43230-1593
Country	:	US
Telephone Number	:	330-421-0994
Fax Number	:

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

Provider Enumeration Date	:	06/02/2021
Last Update Date	:	09/25/2025

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Directions to “ TAYLOR MARIE KOCAN MA, CCC-SLP” Practice Location

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