Provider Demographics
NPI:1457878837
Name:SAEY, TAYLOR
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:
Last Name:SAEY
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 1:5822 93RD AVE W
Mailing Address - Street 2:
Mailing Address - City:TAYLOR RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:61284-9510
Mailing Address - Country:US
Mailing Address - Phone:309-714-8194
Mailing Address - Fax:
Practice Address - Street 1:301 JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:NEW BOSTON
Practice Address - State:IL
Practice Address - Zip Code:61272-8636
Practice Address - Country:US
Practice Address - Phone:309-587-8141
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-25
Last Update Date:2020-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2017099235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist