Provider Demographics
NPI:1194203604
Name:MCCARTHY, TAYLOR (MA)
Entity Type:Individual
Prefix:MISS
First Name:TAYLOR
Middle Name:
Last Name:MCCARTHY
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5250 S HARDY DR APT 2097
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85283-5213
Mailing Address - Country:US
Mailing Address - Phone:248-881-9373
Mailing Address - Fax:
Practice Address - Street 1:19845 N COSTA DEL SOL
Practice Address - Street 2:
Practice Address - City:MARICOPA
Practice Address - State:AZ
Practice Address - Zip Code:85138-5431
Practice Address - Country:US
Practice Address - Phone:520-568-5170
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-06
Last Update Date:2018-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist