Doctor Name: | JENNIFER TAYLOR |
NPI Number: | 1720404379 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 4311 |
Business Practice Address: | 26635 La Highway 16 Denham Springs, LA - 707265853 |
Business Phone Number: | 2256641484 |
Business Fax Number: | |
Mailing Address: | 301 Veterans Blvd, DENHAM SPRINGS |
State: | LA |
Postal Code: | 707264722 |
Phone Number: | 2256641166 |
Fax Number: | 2256672843 |
NPI Enumeration Date: | 03/06/2014 |
NPI Last Update Date: | 03/06/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 4311 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
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 |