Individual
CARISSA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 S 12TH ST, WACO, TX 76701-1810
(254) 752-3451
(254) 756-3133
Mailing address
PO BOX 890, WACO, TX 76703-0890
(254) 752-3451
(254) 756-3133
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
108539
TX
Other
Enumeration date
01/29/2014
Last updated
01/29/2014
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