Provider Demographics
NPI:1508742883
Name:TAYLOR, MADDISON GREER (C-SLPA)
Entity type:Individual
Prefix:
First Name:MADDISON
Middle Name:GREER
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:C-SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3115 W 2ND CT
Mailing Address - Street 2:
Mailing Address - City:RUSSELLVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72801-4504
Mailing Address - Country:US
Mailing Address - Phone:479-968-1306
Mailing Address - Fax:
Practice Address - Street 1:3115 W 2ND CT
Practice Address - Street 2:
Practice Address - City:RUSSELLVILLE
Practice Address - State:AR
Practice Address - Zip Code:72801-4504
Practice Address - Country:US
Practice Address - Phone:479-968-1306
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-13
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2032492355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant