Doctor Name: | MS. AISHA TAYLOR |
NPI Number: | 1114249968 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SLP008895 |
Business Practice Address: | 1000 Lenox Park Blvd Ne Brookhaven, GA - 303195827 |
Business Phone Number: | 4044187276 |
Business Fax Number: | |
Mailing Address: | 524 Woodridge Dr, ATLANTA |
State: | GA |
Postal Code: | 303395822 |
Phone Number: | 3012579910 |
Fax Number: | |
NPI Enumeration Date: | 02/22/2010 |
NPI Last Update Date: | 02/02/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP008895 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |