Individual
HEIDI LARIE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
35912 AVENUE H, YUCAIPA, CA 92399-5206
(909) 790-8550
Mailing address
35586 VELARDO DR, YUCAIPA, CA 92399-4922
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
5088
CA
235Z00000X
Speech-Language Pathologist
Primary
32757
CA
Other
Enumeration date
10/05/2018
Last updated
03/16/2026
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