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NPI Code Detail

MEDICARE: MARTHA LYNN TAYLOR CCC-SLP

MEDICARE:   MARTHA LYNN TAYLOR  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
1235Z00000XSpeech-Language Pathologist103210TX

Other Identifiers

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

General Provider Information

NPI Number : 1447920376
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARTHA LYNN TAYLOR CCC-SLP
Provider Business Mailing Address
First Line : 1314 FALCON DR
Second Line :
City : LEWISVILLE
State : TX
Zip : 75077-7637
Country : US
Telephone Number : 281-840-2812
Fax Number :
Provider Business Practice Location Address
First Line : 1820 PEARL ST
Second Line :
City : CARROLLTON
State : TX
Zip : 75006-6119
Country : US
Telephone Number : 972-968-6500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2021
Last Update Date : 09/13/2021

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Directions to “ MARTHA LYNN TAYLOR CCC-SLP” Practice Location

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