Individual
COURTNEY TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
442 E HAMPTON ST, STOCKTON, CA 95204-5519
(209) 466-0456
Mailing address
442 E HAMPTON ST, STOCKTON, CA 95204-5519
(209) 466-0456
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
2018000346
MO
235Z00000X
Speech-Language Pathologist
Primary
27643
CA
235Z00000X
Speech-Language Pathologist
4292
KY
235Z00000X
Speech-Language Pathologist
SP-1048
WY
Other
Enumeration date
01/15/2019
Last updated
05/15/2020
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