Provider Demographics
NPI:1649574914
Name:TAYLOR, MEGAN BORCHARDT (MS, CCC/SLP)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:BORCHARDT
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:MS, CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6525 N HIGH ST
Mailing Address - Street 2:
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-4045
Mailing Address - Country:US
Mailing Address - Phone:614-505-6934
Mailing Address - Fax:
Practice Address - Street 1:6525 N HIGH ST
Practice Address - Street 2:
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-4045
Practice Address - Country:US
Practice Address - Phone:614-505-6934
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-31
Last Update Date:2010-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP8772235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist