Provider Demographics
NPI:1568849206
Name:ROGAN, TAYLOR (SLP)
Entity Type:Individual
Prefix:
First Name:TAYLOR
Middle Name:
Last Name:ROGAN
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:TAYLOR
Other - Middle Name:
Other - Last Name:ROGAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:SLP
Mailing Address - Street 1:3390 SAXONBURG BLVD SUITE 250
Mailing Address - Street 2:RIVER SPEECH & EDUCATIONAL SERVICES, INC
Mailing Address - City:GLENSHAW
Mailing Address - State:PA
Mailing Address - Zip Code:15116
Mailing Address - Country:US
Mailing Address - Phone:412-406-7461
Mailing Address - Fax:412-406-8086
Practice Address - Street 1:3390 SAXONBURG BLVD SUITE 250
Practice Address - Street 2:RIVER SPEECH & EDUCATIONAL SERVICES, INC
Practice Address - City:GLENSHAW
Practice Address - State:PA
Practice Address - Zip Code:15116
Practice Address - Country:US
Practice Address - Phone:412-406-7461
Practice Address - Fax:412-406-8086
Is Sole Proprietor?:No
Enumeration Date:2015-05-01
Last Update Date:2015-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL012373235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist