Provider Demographics
NPI:1457120016
Name:TAYLOR SPEECH & MORE LLC
Entity Type:Organization
Organization Name:TAYLOR SPEECH & MORE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRCTOR/MANAGING MEMBER/SLP
Authorized Official - Prefix:
Authorized Official - First Name:MARVIN
Authorized Official - Middle Name:WESLEY
Authorized Official - Last Name:TAYLLOR
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:202-556-3126
Mailing Address - Street 1:19425 HAVEN WHITE CT
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20879-4982
Mailing Address - Country:US
Mailing Address - Phone:202-556-3126
Mailing Address - Fax:
Practice Address - Street 1:12 S SUMMIT AVE STE 100
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20877-2090
Practice Address - Country:US
Practice Address - Phone:202-556-3126
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-25
Last Update Date:2023-12-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty