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Ms. Tracey Nickole Taylor
Speech-Language Assistant in Azle, Texas
NPI 1740933357

Tracey Nickole Taylor is a Speech-Language Assistant based in Azle, TX and is specialized in Speech-Language Assistant. Tracey Nickole Taylor practices in Azle, TX. The NPI Number for Tracey Nickole Taylor is 1740933357 and holds a License No. 41963 (Texas).

The current practice location address for Tracey Nickole Taylor is 202 County Road 4860, Azle, TX and can be reached out via phone at 817-585-0815.

Location: 202 County Road 4860, Azle, TX, 76020-8850
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740933357
Provider Name
Tracey Nickole Taylor
Credential
Provider Entity Type
Individual
Gender
Female
Address
202 County Road 4860, Azle, TX, 76020-8850
Phone Number
817-585-0815
Fax Number
Provider Enumeration Date
02/02/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
20842075 01 TX UMR
institution
Provider Business Practice Location Address Details
Address
202 County Road 4860
City
Azle
State
Texas
Zip
76020-8850
Phone Number
817-585-0815
Fax Number
person
Provider Business Mailing Address Details
Address
202 County Road 4860
City
Azle
State
Texas
Zip
76020-8850
Phone Number
817-585-0815
Fax Number
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Specialist/Technologist
Speciality
Speech-Language Assistant
Taxonomy
2355S0801X
License No.
41963 (Texas)
Definition
Definition to come...
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