Provider Demographics
NPI:1073134557
Name:CAMPBELL, TAYLOUR ANN (CF-SLP)
Entity Type:Individual
Prefix:MISS
First Name:TAYLOUR
Middle Name:ANN
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36555 STATE ROUTE 3
Mailing Address - Street 2:
Mailing Address - City:CARTHAGE
Mailing Address - State:NY
Mailing Address - Zip Code:13619-3305
Mailing Address - Country:US
Mailing Address - Phone:315-486-2113
Mailing Address - Fax:
Practice Address - Street 1:1010 US 27 N
Practice Address - Street 2:
Practice Address - City:AVON PARK
Practice Address - State:FL
Practice Address - Zip Code:33825-2556
Practice Address - Country:US
Practice Address - Phone:863-453-5200
Practice Address - Fax:863-453-5308
Is Sole Proprietor?:No
Enumeration Date:2020-05-06
Last Update Date:2020-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist