Provider Demographics
NPI:1508560525
Name:DAWSEY, TAYLOR MADISON (CCC SLP)
Entity Type:Individual
Prefix:
First Name:TAYLOR
Middle Name:MADISON
Last Name:DAWSEY
Suffix:
Gender:F
Credentials:CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 PARK AT NORTH HILLS ST APT 1406
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-2653
Mailing Address - Country:US
Mailing Address - Phone:864-430-9970
Mailing Address - Fax:
Practice Address - Street 1:1428 AVERSBORO RD STE A
Practice Address - Street 2:
Practice Address - City:GARNER
Practice Address - State:NC
Practice Address - Zip Code:27529-4587
Practice Address - Country:US
Practice Address - Phone:864-430-9970
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-27
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC30001525235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist