Individual
MS. LA TONYA RENEE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
3906 RANDOM RD, KINSTON, NC 28504-8468
(252) 361-9105
Mailing address
3906 RANDOM RD, KINSTON, NC 28504-8468
(252) 361-9105
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11006
NC
Other
Enumeration date
04/07/2017
Last updated
04/07/2017
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