Doctor Name: | MRS. MISTY GAILE TAYLOR |
NPI Number: | 1326239252 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS SLP |
License Number: | 242.000623 |
Business Practice Address: | 12020 Southern Highlands Pkwy 1112 Las Vegas, NV - 891413001 |
Business Phone Number: | 6309177755 |
Business Fax Number: | |
Mailing Address: | 12020 Southern Highlands Pkwy, 1112 LAS VEGAS |
State: | NV |
Postal Code: | 891413001 |
Phone Number: | 6309177755 |
Fax Number: | |
NPI Enumeration Date: | 08/06/2007 |
NPI Last Update Date: | 06/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 242.000623 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
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 |