Provider Demographics
NPI:1225386618
Name:TAYLOR, EMILY A (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:A
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:A
Other - Last Name:KRAHN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:310 PINNACLE WAY STE 301
Mailing Address - Street 2:
Mailing Address - City:EAU CLAIRE
Mailing Address - State:WI
Mailing Address - Zip Code:54701-3414
Mailing Address - Country:US
Mailing Address - Phone:715-895-8000
Mailing Address - Fax:833-252-6410
Practice Address - Street 1:310 PINNACLE WAY STE 301
Practice Address - Street 2:
Practice Address - City:EAU CLAIRE
Practice Address - State:WI
Practice Address - Zip Code:54701-3414
Practice Address - Country:US
Practice Address - Phone:715-895-8000
Practice Address - Fax:833-252-6410
Is Sole Proprietor?:No
Enumeration Date:2012-08-16
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMNONE ASSIGNEDMedicaid