MEDICARE: MISS JULIE TAYLOR MS 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	704	KS

General Provider Information

NPI Number	:	1922369057
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS JULIE TAYLOR MS CCC SLP

Provider Business Mailing Address
First Line	:	3001 SW 19TH ST
Second Line	:
City	:	TOPEKA
State	:	KS
Zip	:	66604-3287
Country	:	US
Telephone Number	:	785-232-8138
Fax Number	:

Provider Business Practice Location Address
First Line	:	3001 SW 19TH ST
Second Line	:
City	:	TOPEKA
State	:	KS
Zip	:	66604-3287
Country	:	US
Telephone Number	:	785-232-8138
Fax Number	:

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

Provider Enumeration Date	:	06/05/2012
Last Update Date	:	06/05/2012

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