Individual
TARYN RAEANN TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
1275 S JASMINE LN, FAYETTEVILLE, AR 72704-7708
(918) 961-8283
Mailing address
1275 S JASMINE LN, FAYETTEVILLE, AR 72704-7708
(918) 961-8283
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
201596
AR
235Z00000X
Speech-Language Pathologist
SA19840
FL
235Z00000X
Speech-Language Pathologist
SP-2960
NV
Other
Enumeration date
07/20/2021
Last updated
08/02/2023
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