Individual
JENNIFER TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6330 NEWTOWN RD, SUITE 509, NORFOLK, VA 23502-2350
(757) 449-2557
Mailing address
727 DELAWARE AVE, NORFOLK, VA 23508-2813
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202004715
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004979907
—
VA
Enumeration date
04/20/2007
Last updated
12/02/2020
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