Individual
MS. EMILY M TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., SLP
Contact information
Practice address
1309 S 9TH ST, SPRINGFIELD, IL 62703-2526
(815) 214-9066
(855) 674-0099
Mailing address
494 BELLE ISLE CT, SPRINGFIELD, IL 62711-5675
(217) 891-1478
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242.005835
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4367289
DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
IL
Enumeration date
06/05/2020
Last updated
06/05/2020
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