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NPI Code Detail

MEDICARE: TAYLOR W WESS

MEDICARE: TAYLOR W WESS
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 PathologistSP#P8276AR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1881920411
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYLOR W WESS
Provider Business Mailing Address
First Line : 191 IRELAND
Second Line :
City : SPRINGDALE
State : AR
Zip : 72762-4163
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2510 W HUDSON RD
Second Line :
City : ROGERS
State : AR
Zip : 72756-2072
Country : US
Telephone Number : 479-936-1061
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2009
Last Update Date : 11/22/2021

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Directions to “ TAYLOR W WESS ” Practice Location

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