MEDICARE: MRS. CYNTHIA TAYLOR ATES MSCCCSLP

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	19607	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275686255
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CYNTHIA TAYLOR ATES MSCCCSLP

Provider Business Mailing Address
First Line	:	1325 PECOS CT
Second Line	:
City	:	LANCASTER
State	:	TX
Zip	:	75146-2900
Country	:	US
Telephone Number	:	469-971-3830
Fax Number	:	888-607-7170

Provider Business Practice Location Address
First Line	:	4601 MEDICAL CENTER DR STE A&C-1
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75069-1771
Country	:	US
Telephone Number	:	469-971-3830
Fax Number	:

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

Provider Enumeration Date	:	01/21/2007
Last Update Date	:	03/02/2022

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Directions to “ MRS. CYNTHIA TAYLOR ATES MSCCCSLP” Practice Location

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