Provider Demographics
NPI:1700829264
Name:TAYLOR, REBECCA (PHD)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:REBECCA
Other - Middle Name:
Other - Last Name:TAYLOR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:2530 W UNIVERSITY DR
Mailing Address - Street 2:STE 1130
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201-1615
Mailing Address - Country:US
Mailing Address - Phone:940-387-3330
Mailing Address - Fax:940-387-3332
Practice Address - Street 1:2530 W UNIVERSITY DR
Practice Address - Street 2:STE 1130
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-1615
Practice Address - Country:US
Practice Address - Phone:940-387-3330
Practice Address - Fax:940-387-3332
Is Sole Proprietor?:No
Enumeration Date:2006-06-13
Last Update Date:2016-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80345237600000X
FLAY573237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter