Provider Demographics
NPI:1477121481
Name:MYERS, TAYLOR ANNE (AUD, CCC-A)
Entity Type:Individual
Prefix:DR
First Name:TAYLOR
Middle Name:ANNE
Last Name:MYERS
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 1:1730 BIRMINGHAM RD
Mailing Address - Street 2:
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77845-4063
Mailing Address - Country:US
Mailing Address - Phone:979-693-7419
Mailing Address - Fax:
Practice Address - Street 1:1730 BIRMINGHAM RD
Practice Address - Street 2:
Practice Address - City:COLLEGE STATION
Practice Address - State:TX
Practice Address - Zip Code:77845-4063
Practice Address - Country:US
Practice Address - Phone:979-693-7419
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-15
Last Update Date:2022-04-27
Deactivation Date:2021-09-13
Deactivation Code:
Reactivation Date:2022-04-27
Provider Licenses
StateLicense IDTaxonomies
TX81433231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist