Provider Demographics
NPI:1184808214
Name:TAYLOR, BARBARA B (MS CCC)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:B
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:MS CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1248 DOWNWOOD MANOR
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26508
Mailing Address - Country:US
Mailing Address - Phone:304-594-3097
Mailing Address - Fax:
Practice Address - Street 1:13 SOUTH HIGH STREET
Practice Address - Street 2:BOARD OF EDUCATION MONONGALIA COUNTY
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26508
Practice Address - Country:US
Practice Address - Phone:304-594-2772
Practice Address - Fax:304-291-3015
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-26
Last Update Date:2007-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV00368548235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0152672000Medicaid