Provider Demographics
NPI:1013538990
Name:TAYLOR, KAYLEE NICOLE (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:KAYLEE
Middle Name:NICOLE
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:KAYLEE
Other - Middle Name:NICOLE
Other - Last Name:HAUSIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9421 BENCHMARK DR APT H
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46240-4212
Mailing Address - Country:US
Mailing Address - Phone:219-689-5152
Mailing Address - Fax:
Practice Address - Street 1:107 W FRONT ST
Practice Address - Street 2:
Practice Address - City:LILLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27546-6679
Practice Address - Country:US
Practice Address - Phone:919-902-6995
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-01
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC30003474235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist