Provider Demographics
NPI:1235435645
Name:TAYLOR, BARBARA JANE (SLP)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:JANE
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1448 S COTTONWOOD LN
Mailing Address - Street 2:
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:UT
Mailing Address - Zip Code:84045-8187
Mailing Address - Country:US
Mailing Address - Phone:701-429-7453
Mailing Address - Fax:
Practice Address - Street 1:1448 S COTTONWOOD LN
Practice Address - Street 2:
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:UT
Practice Address - Zip Code:84045-8187
Practice Address - Country:US
Practice Address - Phone:701-429-7453
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-02
Last Update Date:2021-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND1011235Z00000X
UTRC-20-0509235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist