Taylor Cooley, AUD
Individual provider Active NPI Audiologist · Keesler Afb, MS
NPI 1821534652 · NPPES record last updated Apr 11, 2018
Key facts
- NPI
- 1821534652
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- License
- AY2152 (FL)
- Practice address
- 301 Fisher St
Audiology Clinic
Keesler Afb, MS 39534 - Phone
- (228) 376-0420
- NPI assigned
- Jan 18, 2017
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AY2152 | FL | MD | Audiologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AY2152 | FL | Yes |
Addresses
Primary practice location
301 Fisher St
Audiology Clinic
Keesler Afb, MS 39534
Mailing address
301 Fisher St
Audiology Clinic
Keesler Afb, MS 39534
Other providers in Keesler Afb, MS
- Elena Ann Burgess
- James Burnett
- Suzanne Marie Cecconi
- Tristan Cheramie
- Rachel Louise Connell
- Abraham Fausto Jornada Cooper
- Robert Mack Cromer
- Cynthia C Cruthirds
- Sean Maurice Debuysere
- Victor Salvador Diaz
All providers in Keesler Afb, MS · Audiologist in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2018. 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.