Most Relevant Information
Provider Data
| NPI Number: | 1003475492 |
| Provider Name: | TAYLOR GIBBS CROSBY |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/10/2019 |
| Last Updated: | 06/10/2019 |
Provider Practice Location
17706 INTERSTATE 30 N STE 3
BENTON
AR
720192930
Practice Location Phone/Fax
| Phone: | 5013154414 |
| Fax: |
Provider Mailing Location
17706 INTERSTATE 30 N STE 3
BENTON
AR
720192930
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |