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Organization

BRENDA A. TAYLOR

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRENDA A. TAYLOR SPEECH PATHOLOGIST (OWNER)
(919) 734-6649
Entity
Organization

Contact information

Practice address
627 DEER ACRES DR, GOLDSBORO, NC 27530-9238
(919) 734-6649
(919) 734-6649
Mailing address
627 DEER ACRES DR, GOLDSBORO, NC 27530-9238
(919) 734-6649
(919) 734-6649

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
363
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7211396
NC
Enumeration date
01/01/2007
Last updated
08/22/2020
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