Healthcare Provider Details

I. General information

NPI: 1154250686
Provider Name (Legal Business Name): ADAM BRANDON TAYLOR
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7210 RUTHERFORD RD STE G
WINDSOR MILL MD
21244-2719
US

IV. Provider business mailing address

7210 RUTHERFORD RD STE G
WINDSOR MILL MD
21244-2719
US

V. Phone/Fax

Practice location:
  • Phone: 443-364-8182
  • Fax: 443-261-0062
Mailing address:
  • Phone: 443-364-8182
  • Fax: 443-261-0062

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number03220L
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: