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Individual

MRS. MISTY GAILE TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS SLP

Contact information

Practice address
12020 SOUTHERN HIGHLANDS PKWY, 1112, LAS VEGAS, NV 89141-3001
(630) 917-7755
Mailing address
12020 SOUTHERN HIGHLANDS PKWY, 1112, LAS VEGAS, NV 89141-3001
(630) 917-7755

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
242.000623
IL
235Z00000X
Speech-Language Pathologist
Primary
SP-1705
NV

Other

Enumeration date
08/06/2007
Last updated
06/24/2014
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