Provider Demographics
NPI:1205833753
Name:TAYLOR, CARMENT L (PHD, CCC-A)
Entity Type:Individual
Prefix:DR
First Name:CARMENT
Middle Name:L
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:PHD, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2308B 6TH ST
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35401-1741
Mailing Address - Country:US
Mailing Address - Phone:205-391-9876
Mailing Address - Fax:205-391-9893
Practice Address - Street 1:2308B 6TH ST
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35401-1741
Practice Address - Country:US
Practice Address - Phone:205-391-9876
Practice Address - Fax:205-391-9893
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL638A231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51046881OtherBCBS OF AL