Most Relevant Information
Provider Data
| NPI Number: | 1003391962 |
| Provider Name: | TAYLOR PECK CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | SP27258 |
Most Important Dates
| Enumeration Date: | 09/26/2018 |
| Last Updated: | 01/19/2023 |
Provider Practice Location
3649 ATLANTIC AVE STE C
LONG BEACH
CA
908073417
Practice Location Phone/Fax
| Phone: | 5622093254 |
| Fax: |
Provider Mailing Location
4102 PACIFIC AVE
LONG BEACH
CA
908071922
Provider Mailing Phone/Fax
| Phone: | 5622093254 |
| Fax: |