Provider Demographics
NPI:1639917883
Name:KEEL, TAYLOR HOPE (MS)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:HOPE
Last Name:KEEL
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:TAYLOR
Other - Middle Name:HOPE
Other - Last Name:KENYON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:19425 N 39TH AVE
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-2220
Mailing Address - Country:US
Mailing Address - Phone:602-568-8841
Mailing Address - Fax:
Practice Address - Street 1:3000 S APACHE RD
Practice Address - Street 2:
Practice Address - City:BUCKEYE
Practice Address - State:AZ
Practice Address - Zip Code:85326-3998
Practice Address - Country:US
Practice Address - Phone:623-474-0100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-19
Last Update Date:2024-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLPA152522355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant