Provider Demographics
NPI:1265989792
Name:TAYLOR, MEREDITH FRANCIS (MA, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:MEREDITH
Middle Name:FRANCIS
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:MEREDITH
Other - Middle Name:FRANCIS
Other - Last Name:DUNHAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, CCC-SLP
Mailing Address - Street 1:6019 US HIGHWAY 23
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-9493
Mailing Address - Country:US
Mailing Address - Phone:740-970-0409
Mailing Address - Fax:
Practice Address - Street 1:5 TIGER DR
Practice Address - Street 2:
Practice Address - City:WAVERLY
Practice Address - State:OH
Practice Address - Zip Code:45690-8704
Practice Address - Country:US
Practice Address - Phone:740-947-5173
Practice Address - Fax:740-947-2236
Is Sole Proprietor?:No
Enumeration Date:2016-09-01
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP.12438235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0223861Medicaid
OH270400OtherPUPIL SERVICES LICENSE
14043104OtherAMERICAN BOARD OF SPEECH LANGUAGE PATHOLOGY CERTIFICATE OF CLINICAL COMPETENCE