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NPI Code Detail

MEDICARE: TAYLOR JOHNSTON MA, CCC-SLP

MEDICARE:   TAYLOR  JOHNSTON  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
1235Z00000XSpeech-Language Pathologist4441KS
2235Z00000XSpeech-Language Pathologist

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 : 1942799473
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYLOR JOHNSTON MA, CCC-SLP
Provider Business Mailing Address
First Line : 8239 E BROOKHOLLOW LN
Second Line :
City : WICHITA
State : KS
Zip : 67206-2338
Country : US
Telephone Number : 316-208-1259
Fax Number :
Provider Business Practice Location Address
First Line : 12626 E 21ST ST N
Second Line :
City : WICHITA
State : KS
Zip : 67206-3535
Country : US
Telephone Number : 316-208-1259
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2018
Last Update Date : 03/16/2026

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

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