Individual
TAYLOR HEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2350 AIRPORT FWY STE 150, BEDFORD, TX 76022-6050
(817) 508-0030
Mailing address
1408 TEASLEY LN APT 3724, DENTON, TX 76205-5263
(940) 231-7451
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
41362
TX
Other
Enumeration date
05/07/2020
Last updated
05/13/2020
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