Provider Demographics
NPI:1417026899
Name:TAYLOR-POYANT, HEATHER MENZIES (AUD CCC/A)
Entity Type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:MENZIES
Last Name:TAYLOR-POYANT
Suffix:
Gender:F
Credentials:AUD CCC/A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:593 EDDY STREET
Mailing Address - Street 2:RHODE ISLAND HOSPITAL
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02903-4923
Mailing Address - Country:US
Mailing Address - Phone:401-444-6966
Mailing Address - Fax:401-444-5462
Practice Address - Street 1:115 GEORGIA AVENUE
Practice Address - Street 2:AUDIOLOGY AND SPEECH-LANGUAGE PATHOLOGY AT RI HOSPTIAL
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02905-4422
Practice Address - Country:US
Practice Address - Phone:401-444-5485
Practice Address - Fax:401-444-6212
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2012-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIAUD00156231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist