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NPI Code Detail

MEDICARE: TAYLOR ANN SLATTEN

MEDICARE:   TAYLOR ANN SLATTEN
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
1235Z00000XSpeech-Language Pathologist115291TX

General Provider Information

NPI Number : 1588129894
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYLOR ANN SLATTEN
Provider Business Mailing Address
First Line : 15480 DALLAS PKWY APT 1097
Second Line :
City : DALLAS
State : TX
Zip : 75248-4643
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 15480 DALLAS PKWY APT 1097
Second Line :
City : DALLAS
State : TX
Zip : 75248-4643
Country : US
Telephone Number : 318-751-7562
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2019
Last Update Date : 01/31/2019

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Directions to “ TAYLOR ANN SLATTEN ” Practice Location

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