Ansley Nicole Taylor, M.ED.
Individual provider Active NPI Speech-Language Pathologist · Lavonia, GA
NPI 1669216487 · NPPES record last updated Jun 25, 2024
Key facts
- NPI
- 1669216487
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- PCET004009 (GA)
- Practice address
- 367 Clear Creek Pkwy
Lavonia, GA 30553-4173 - Phone
- (706) 356-7450
- Fax
- (706) 356-7451
- NPI assigned
- Jun 25, 2024
- Sex
- Female
- 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 Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PCET004009 | GA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | PCET004009 | GA | Yes |
Addresses
Primary practice location
367 Clear Creek Pkwy
Lavonia, GA 30553-4173
Mailing address
480 E Broad St Apt 203
Athens, GA 30601-2817
Phone (770) 331-0241
Other providers in Lavonia, GA
- St. Mary'S Sacred Heart Hospital, Inc.
- Lauren Powell Standridge
- Meredith Staton
- Dale Leonard Stone
- Dustin Strickland
- Jamyiah Teasley
- Ruth L Tellano-Daniel
- Jeffrey A Thomas
- Amanda B Thomason
- Toccoa Clinic Medical Associates
All providers in Lavonia, GA · Speech-Language Pathologist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2024. 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.