Individual
DR. KRISTY L TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D., SLP
Contact information
Practice address
129 GREENRIDGE DR, MADISON, MS 39110-7833
(769) 226-8807
Mailing address
129 GREENRIDGE DR, MADISON, MS 39110-7833
(769) 226-8807
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
108503
TX
235Z00000X
Speech-Language Pathologist
2022048851
MS
235Z00000X
Speech-Language Pathologist
2202011665
VA
235Z00000X
Speech-Language Pathologist
Primary
4299
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05926263
—
MS
Enumeration date
03/19/2013
Last updated
10/15/2024
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