Provider Demographics
NPI:1225612617
Name:DILLON, TAYLOR ALEXIS (MS, CF-SLP)
Entity Type:Individual
Prefix:
First Name:TAYLOR
Middle Name:ALEXIS
Last Name:DILLON
Suffix:
Gender:F
Credentials:MS, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1862 N SCULL CREEK DR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72703-2316
Mailing Address - Country:US
Mailing Address - Phone:501-786-1318
Mailing Address - Fax:
Practice Address - Street 1:2808 W WALNUT ST
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72756-0335
Practice Address - Country:US
Practice Address - Phone:479-621-6126
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-11
Last Update Date:2021-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist