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NPI Code Detail

MEDICARE: MS. EMILY M TAYLOR M.A., SLP

MEDICARE:  MS. EMILY M TAYLOR  M.A., 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 Pathologist242.005835IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14367289OTHERILDEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION

General Provider Information

NPI Number : 1477177376
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. EMILY M TAYLOR M.A., SLP
Provider Business Mailing Address
First Line : 494 BELLE ISLE CT
Second Line :
City : SPRINGFIELD
State : IL
Zip : 62711-5675
Country : US
Telephone Number : 217-891-1478
Fax Number :
Provider Business Practice Location Address
First Line : 1309 S 9TH ST
Second Line :
City : SPRINGFIELD
State : IL
Zip : 62703-2526
Country : US
Telephone Number : 815-214-9066
Fax Number : 855-674-0099
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2020
Last Update Date : 06/05/2020

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