Provider Demographics
NPI:1326868605
Name:TAYLOR, EMILY
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:TAYLOR
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 1:18 S 1250 W
Mailing Address - Street 2:
Mailing Address - City:SAINT GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84770-5092
Mailing Address - Country:US
Mailing Address - Phone:435-773-8123
Mailing Address - Fax:
Practice Address - Street 1:352 E RIVERSIDE DR STE A7
Practice Address - Street 2:
Practice Address - City:SAINT GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790-5812
Practice Address - Country:US
Practice Address - Phone:435-200-4968
Practice Address - Fax:435-272-4392
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-11
Last Update Date:2024-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist