Doctor Name: | MS. JEANNE MONTROSE TAYLOR |
NPI Number: | 1184851552 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA/CCC-SP |
License Number: | 06612 |
Business Practice Address: | 29770 Three Notch Road Charlotte Hall, MD - 20622 |
Business Phone Number: | 3012900800 |
Business Fax Number: | 3012901313 |
Mailing Address: | 11100 Budds Creek Road, CHARLOTTE HALL |
State: | MD |
Postal Code: | 20622 |
Phone Number: | 3012900800 |
Fax Number: | 3012901313 |
NPI Enumeration Date: | 06/12/2009 |
NPI Last Update Date: | 06/12/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 06612 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
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 |