Provider Demographics
NPI:1720425507
Name:TAYLOR, EMILY J (AUD)
Entity Type:Individual
Prefix:DR
First Name:EMILY
Middle Name:J
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1777 REISTERSTOWN RD
Mailing Address - Street 2:SUITE 118 A
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-1306
Mailing Address - Country:US
Mailing Address - Phone:443-544-7555
Mailing Address - Fax:443-544-7552
Practice Address - Street 1:1777 REISTERSTOWN RD
Practice Address - Street 2:SUITE 118 A
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21208-1306
Practice Address - Country:US
Practice Address - Phone:443-544-7555
Practice Address - Fax:443-544-7552
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-03
Last Update Date:2017-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01293231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist