Individual
MS. AISHA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 LENOX PARK BLVD NE, BROOKHAVEN, GA 30319-5827
(404) 418-7276
Mailing address
524 WOODRIDGE DR, ATLANTA, GA 30339-5822
(301) 257-9910
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP008895
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SLP008895
GEORGIA STATE LICENSURE
GA
Enumeration date
02/22/2010
Last updated
02/02/2016
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