Individual
MRS. LATEKA KEGLER- TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC- SLP
Contact information
Practice address
344 VIEW DR, BLYTHEWOOD, SC 29016-7252
(704) 780-0211
Mailing address
344 VIEW DR, BLYTHEWOOD, SC 29016-7252
(704) 780-0211
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP.5079 SPIN
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SA1652
—
SC
Enumeration date
06/22/2012
Last updated
06/16/2016
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