Provider Demographics
NPI:1780103424
Name:KNIGHT, TAYLOR JEAN (AUD)
Entity type:Individual
Prefix:DR
First Name:TAYLOR
Middle Name:JEAN
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:DR
Other - First Name:TAYLOR
Other - Middle Name:JEAN
Other - Last Name:MCCLELLAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:19319 7TH AVE NE STE 102
Mailing Address - Street 2:
Mailing Address - City:POULSBO
Mailing Address - State:WA
Mailing Address - Zip Code:98370-7442
Mailing Address - Country:US
Mailing Address - Phone:360-697-3061
Mailing Address - Fax:360-697-2116
Practice Address - Street 1:19319 7TH AVENUE STE. 102
Practice Address - Street 2:
Practice Address - City:POULSBO
Practice Address - State:WA
Practice Address - Zip Code:98370
Practice Address - Country:US
Practice Address - Phone:360-697-3061
Practice Address - Fax:360-697-2116
Is Sole Proprietor?:No
Enumeration Date:2017-09-13
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALD60793404237600000X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter