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Individual

MR. MARVIN WESLEY TAYLOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.S., SLP

Contact information

Practice address
12 S SUMMIT AVE STE 100, GAITHERSBURG, MD 20877-2090
(202) 556-3126
Mailing address
19425 HAVEN WHITE CT, GAITHERSBURG, MD 20879-4982
(954) 600-0407

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
08704
MD
235Z00000X
Speech-Language Pathologist
2202010014
VA
235Z00000X
Speech-Language Pathologist
SZ4828
FL

Other

Enumeration date
10/03/2010
Last updated
01/02/2024
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