MEDICARE: ERIKA TAYLOR M.A., 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
1	235Z00000X	Speech-Language Pathologist	8816	TN

General Provider Information

NPI Number	:	1164391157
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIKA TAYLOR M.A., CCC-SLP

Provider Business Mailing Address
First Line	:	1354 VANHOOSER RD
Second Line	:
City	:	WOODBURY
State	:	TN
Zip	:	37190-5455
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2000 N GERMANTOWN PKWY
Second Line	:
City	:	CORDOVA
State	:	TN
Zip	:	38016-5091
Country	:	US
Telephone Number	:	901-290-3857
Fax Number	:

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

Provider Enumeration Date	:	10/30/2025
Last Update Date	:	12/02/2025

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