Provider Demographics
NPI:1598260796
Name:FALCEY, TAYLOR MORGAN (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:TAYLOR
Middle Name:MORGAN
Last Name:FALCEY
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:MS
Other - First Name:TAYLOR
Other - Middle Name:MORGAN NIEMAN
Other - Last Name:KOEBERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, CCC-SLP
Mailing Address - Street 1:2612 W 12TH ST UNIT 302
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78703-4518
Mailing Address - Country:US
Mailing Address - Phone:414-940-3694
Mailing Address - Fax:
Practice Address - Street 1:2612 W 12TH ST UNIT 302
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78703-4518
Practice Address - Country:US
Practice Address - Phone:414-940-3694
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-28
Last Update Date:2018-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX110549235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist