Paul James Taylor, MA, CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Bellaire, MI

NPI 1245501097 · NPPES record last updated Jun 22, 2020

Key facts

NPI
1245501097
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
Practice address
4543 S M 88 Hwy
Bellaire, MI 49615-9109
Phone
(231) 533-8661
NPI assigned
Jan 24, 2012
Sex
Male
Sole proprietor
No

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 Arts

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Yes

Addresses

Primary practice location

4543 S M 88 Hwy
Bellaire, MI 49615-9109

Mailing address

4622 Brook View Dr
Williamsburg, MI 49690-8201
Phone (231) 928-0763

Other practice location 1

1728 S Peninsula Rd
East Jordan, MI 49727-9410
Phone (231) 536-2286

Other providers in Bellaire, MI

All providers in Bellaire, MI · Speech-Language Pathologist in Michigan

Sources for this page

Verify at the official NPI Registry.