Provider Demographics
NPI:1275146151
Name:CLAYTON, TAYLOR AUTREY (MS, CF-SLP)
Entity Type:Individual
Prefix:MRS
First Name:TAYLOR
Middle Name:AUTREY
Last Name:CLAYTON
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 1:551 RICHBURG RD APT 5
Mailing Address - Street 2:
Mailing Address - City:PURVIS
Mailing Address - State:MS
Mailing Address - Zip Code:39475-3342
Mailing Address - Country:US
Mailing Address - Phone:334-549-4059
Mailing Address - Fax:
Practice Address - Street 1:4805 W 4TH ST
Practice Address - Street 2:
Practice Address - City:HATTIESBURG
Practice Address - State:MS
Practice Address - Zip Code:39402-1019
Practice Address - Country:US
Practice Address - Phone:601-270-6968
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-28
Last Update Date:2020-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist