Provider Demographics
NPI:1821291717
Name:TAYLOR, DEWEY DAVID (MS CCC SLP)
Entity Type:Individual
Prefix:MR
First Name:DEWEY
Middle Name:DAVID
Last Name:TAYLOR
Suffix:
Gender:M
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 1:219 SEAN WAY
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28792-9324
Mailing Address - Country:US
Mailing Address - Phone:828-685-1695
Mailing Address - Fax:
Practice Address - Street 1:219 SEAN WAY
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28792-9324
Practice Address - Country:US
Practice Address - Phone:828-685-1695
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3669235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist