Provider Demographics
NPI:1306539887
Name:ANGELLE, TAYLOR
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:
Last Name:ANGELLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:269 COUNTY ROAD 4185
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:TX
Mailing Address - Zip Code:77632-8620
Mailing Address - Country:US
Mailing Address - Phone:409-344-9089
Mailing Address - Fax:409-344-9390
Practice Address - Street 1:6901 MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:TX
Practice Address - Zip Code:77630-1410
Practice Address - Country:US
Practice Address - Phone:409-344-9089
Practice Address - Fax:409-344-9390
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-31
Last Update Date:2025-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist