Provider Demographics
NPI:1982057352
Name:FOY, TAYLOR FREE (MSP, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:TAYLOR
Middle Name:FREE
Last Name:FOY
Suffix:
Gender:F
Credentials:MSP, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 LAUREL SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29206-2102
Mailing Address - Country:US
Mailing Address - Phone:803-917-0659
Mailing Address - Fax:
Practice Address - Street 1:311 LAUREL SPRINGS RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29206-2102
Practice Address - Country:US
Practice Address - Phone:803-917-0659
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-20
Last Update Date:2016-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2211235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist