Individual provider Active NPI

Taylor Renee Clum, M.S CCC-SLP

  • Speech-Language Pathologist
  • Bowling Green, OH
National Provider Identifier
1922830967
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP.16115 Issued in OH
Practice address
18505 Tontogany Creek Rd Ste 1
Bowling Green, OH 43402-9037
Phone
(419) 823-4381
NPI assigned
Aug 19, 2024
Last updated
Aug 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP.16115 OH Primary

Addresses

Primary practice location

18505 Tontogany Creek Rd Ste 1
Bowling Green, OH 43402-9037

Mailing address

I012 County Road 2
Custar, OH 43511-9604
Phone (586) 610-4616

Other names 1

  • Miss Taylor Renee Haley Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SP.16115OHMDSpeech-Language Pathologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1922830967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "I012 COUNTY ROAD 2",
            "city": "CUSTAR",
            "state": "OH",
            "postal_code": "435119604",
            "telephone_number": "586-610-4616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18505 TONTOGANY CREEK RD STE 1",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434029037",
            "telephone_number": "419-823-4381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLUM",
        "first_name": "TAYLOR",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "M.S CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-19",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.16115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "HALEY",
            "middle_name": "RENEE",
            "prefix": "MISS",
            "credential": "M.S CCC-SLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bowling Green, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.