Provider Demographics
NPI:1992437776
Name:BOWER, TAYLOR LYN (AUD)
Entity type:Individual
Prefix:DR
First Name:TAYLOR
Middle Name:LYN
Last Name:BOWER
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 1:785 CHERRY ST
Mailing Address - Street 2:
Mailing Address - City:MUNCY VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:17758-8501
Mailing Address - Country:US
Mailing Address - Phone:570-506-7241
Mailing Address - Fax:
Practice Address - Street 1:2449 STATE ROUTE 118
Practice Address - Street 2:
Practice Address - City:HUNLOCK CREEK
Practice Address - State:PA
Practice Address - Zip Code:18621-5016
Practice Address - Country:US
Practice Address - Phone:570-733-3112
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-29
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT006814231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist