Provider Demographics
NPI:1154073047
Name:HELLESTRAE TAYLOR, KENDYLL (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:KENDYLL
Middle Name:
Last Name:HELLESTRAE TAYLOR
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33755 N SCOTTSDALE RD STE 110
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85266-1567
Mailing Address - Country:US
Mailing Address - Phone:480-588-3656
Mailing Address - Fax:
Practice Address - Street 1:33755 N SCOTTSDALE RD STE 110
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85266-1567
Practice Address - Country:US
Practice Address - Phone:480-588-3656
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-21
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist