MEDICARE: LAURIE JILL TAYLOR

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	007553	PA

General Provider Information

NPI Number	:	1952128662
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURIE JILL TAYLOR

Provider Business Mailing Address
First Line	:	1272 TURNBURY LN
Second Line	:
City	:	NORTH WALES
State	:	PA
Zip	:	19454-3659
Country	:	US
Telephone Number	:	215-817-6736
Fax Number	:

Provider Business Practice Location Address
First Line	:	1272 TURNBURY LN
Second Line	:
City	:	NORTH WALES
State	:	PA
Zip	:	19454-3659
Country	:	US
Telephone Number	:	215-817-6736
Fax Number	:

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

Provider Enumeration Date	:	09/24/2024
Last Update Date	:	09/24/2024

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Directions to “ LAURIE JILL TAYLOR ” Practice Location

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