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NPI Code Detail

MEDICARE: AMY TAYLOR CALDER M.S., CCC-SLP

MEDICARE:   AMY TAYLOR CALDER  M.S., 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
1235Z00000XSpeech-Language Pathologist1234NV

General Provider Information

NPI Number : 1740426709
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY TAYLOR CALDER M.S., CCC-SLP
Provider Business Mailing Address
First Line : 848 N RAINBOW BLVD
Second Line : #4106
City : LAS VEGAS
State : NV
Zip : 89107-1103
Country : US
Telephone Number : 702-587-4274
Fax Number : 702-534-6469
Provider Business Practice Location Address
First Line : 848 N RAINBOW BLVD
Second Line : #4106
City : LAS VEGAS
State : NV
Zip : 89107-1103
Country : US
Telephone Number : 702-587-4274
Fax Number : 702-534-6469
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2008
Last Update Date : 01/21/2016

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Directions to “ AMY TAYLOR CALDER M.S., CCC-SLP” Practice Location

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