Individual
MAKENZIE NO'EL TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
98 POPLAR ST, BLACKFOOT, ID 83221-1758
(208) 680-9182
Mailing address
365 N 465 W, BLACKFOOT, ID 83221-5145
(208) 680-9182
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-2514
ID
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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