Provider Demographics
NPI:1982183158
Name:TAYLOR, KARA (MA CCC-SLP)
Entity Type:Individual
Prefix:MISS
First Name:KARA
Middle Name:
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6966 ZENITH CT
Mailing Address - Street 2:
Mailing Address - City:LIBERTY TWP
Mailing Address - State:OH
Mailing Address - Zip Code:45011-7207
Mailing Address - Country:US
Mailing Address - Phone:513-939-4076
Mailing Address - Fax:
Practice Address - Street 1:2765 CHAPEL PL # 6004
Practice Address - Street 2:
Practice Address - City:CRESTVIEW HILLS
Practice Address - State:KY
Practice Address - Zip Code:41017-3413
Practice Address - Country:US
Practice Address - Phone:859-344-4511
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-08
Last Update Date:2021-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOND.2018782-SP235Z00000X
OHSP13529235Z00000X
KY251439235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist