Healthcare Provider Details

I. General information

NPI: 1821477266
Provider Name (Legal Business Name): SARAH TAYLOR M.S., CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2015
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

512 W PHILLIP AVE
NORFOLK NE
68701-5208
US

IV. Provider business mailing address

512 W PHILLIP AVE
NORFOLK NE
68701-5208
US

V. Phone/Fax

Practice location:
  • Phone: 402-644-2500
  • Fax:
Mailing address:
  • Phone: 402-644-2500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number1749
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: