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NPI Code Detail

MEDICARE: TAYLOR LYNNE YATES

MEDICARE: TAYLOR LYNNE YATES
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
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1336705508
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYLOR LYNNE YATES
Provider Business Mailing Address
First Line : 1225 CARDINAL DR
Second Line :
City : EAST ALTON
State : IL
Zip : 62024-2161
Country : US
Telephone Number : 618-420-6436
Fax Number :
Provider Business Practice Location Address
First Line : 1021 W E ST
Second Line :
City : BELLEVILLE
State : IL
Zip : 62220-1055
Country : US
Telephone Number : 618-233-2095
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2019
Last Update Date : 11/18/2025

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Directions to “ TAYLOR LYNNE YATES ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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