Provider Demographics
NPI:1306025820
Name:TAYLOR, BARBARA ANN HILLSMAN (MS, CCC-SLP, COM)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:ANN HILLSMAN
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:MS, CCC-SLP, COM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 WALLINGTON WAY STE 103
Mailing Address - Street 2:
Mailing Address - City:MARRIOTTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21104-1506
Mailing Address - Country:US
Mailing Address - Phone:410-442-9791
Mailing Address - Fax:410-442-9783
Practice Address - Street 1:2500 WALLINGTON WAY STE 103
Practice Address - Street 2:
Practice Address - City:MARRIOTTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21104-1506
Practice Address - Country:US
Practice Address - Phone:410-442-9791
Practice Address - Fax:410-442-9783
Is Sole Proprietor?:No
Enumeration Date:2007-11-01
Last Update Date:2020-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD02437235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD096338100Medicaid