Taylor Fitzgerald, MS CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Slaughter, LA
NPI 1083363063 · NPPES record last updated May 5, 2023
Key facts
- NPI
- 1083363063
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 6313 Lemon Rd
Slaughter, LA 70777-9694 - Phone
- (318) 805-3467
- NPI assigned
- Mar 18, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8230 | LA | MD | Speech-Language Pathologist |
| 116599 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Taylor Made Speech Therapy LLC | Single Specialty | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes | ||
| Speech-Language Pathologist |
235Z00000X | 116599 | TX | |
| Speech-Language Pathologist | 235Z00000X | 8230 | LA |
Addresses
Primary practice location
6313 Lemon Rd
Slaughter, LA 70777-9694
Mailing address
6313 Lemon Rd
Slaughter, LA 70777-9694
Phone (318) 805-3467
Other providers in Slaughter, LA
- Jonathan Roy Blanton
- Codie C Brian
- Latonya Claiborne
- Consuela Davis
- Latrice Elbert
- Lauri Garrett
- Paula Flagge Green
- Phillip Andrew Griffin
- Horizon Management LLC
- Horizon Management LLC
All providers in Slaughter, LA · Speech-Language Pathologist in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.