Provider Demographics
NPI:1841389301
Name:EAVES-TAYLOR THERAPY, INC.
Entity Type:Organization
Organization Name:EAVES-TAYLOR THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:CCC
Authorized Official - Phone:501-351-2301
Mailing Address - Street 1:1389 LAFITE LN
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72703-9808
Mailing Address - Country:US
Mailing Address - Phone:501-351-2301
Mailing Address - Fax:501-325-0678
Practice Address - Street 1:1389 LAFITE LN
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72703-9808
Practice Address - Country:US
Practice Address - Phone:501-351-2301
Practice Address - Fax:501-325-0678
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARSP#1277235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty