Provider Demographics
NPI:1447975792
Name:ADAMS, TAYLOR JONES (MA, CCC-SLP)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:JONES
Last Name:ADAMS
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 SPRING DR APT 1
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40205-1586
Mailing Address - Country:US
Mailing Address - Phone:513-805-2303
Mailing Address - Fax:502-588-2351
Practice Address - Street 1:9931 FOREST GREEN BLVD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40223-5123
Practice Address - Country:US
Practice Address - Phone:502-588-0750
Practice Address - Fax:502-588-2351
Is Sole Proprietor?:No
Enumeration Date:2022-10-10
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist