Doctor Name: | JULIE TAYLOR |
NPI Number: | 1326477126 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED., CCC-SLP |
License Number: | SLP006809 |
Business Practice Address: | 304 Janet St Unit D Valdosta, GA - 316022642 |
Business Phone Number: | 2294694580 |
Business Fax Number: | 2294694580 |
Mailing Address: | 304 Janet St, Unit D VALDOSTA |
State: | GA |
Postal Code: | 316022642 |
Phone Number: | 2294694580 |
Fax Number: | 2294694580 |
NPI Enumeration Date: | 11/02/2013 |
NPI Last Update Date: | 11/02/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP006809 |
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 |