Healthcare Provider Details

I. General information

NPI: 1699687392
Provider Name (Legal Business Name): TAYLOR FELDMAN M.S. CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16255 VENTURA BLVD STE 1015
ENCINO CA
91436-2318
US

IV. Provider business mailing address

4718 LOUISE AVE
ENCINO CA
91316-3925
US

V. Phone/Fax

Practice location:
  • Phone: 818-646-0429
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number42162
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: