Basic Information
| Provider Information | |||||||||
| NPI: | 1417026899 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | TAYLOR-POYANT | ||||||||
| FirstName: | HEATHER | ||||||||
| MiddleName: | MENZIES | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | AU.D. CCC/A | ||||||||
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| Mailing Information | |||||||||
| Address1: | 593 EDDY STREET | ||||||||
| Address2: | RHODE ISLAND HOSPITAL | ||||||||
| City: | PROVIDENCE | ||||||||
| State: | RI | ||||||||
| PostalCode: | 029034923 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4014446966 | ||||||||
| FaxNumber: | 4014445462 | ||||||||
| Practice Location | |||||||||
| Address1: | 115 GEORGIA AVENUE | ||||||||
| Address2: | AUDIOLOGY AND SPEECH-LANGUAGE PATHOLOGY AT RI HOSPTIAL | ||||||||
| City: | PROVIDENCE | ||||||||
| State: | RI | ||||||||
| PostalCode: | 029054422 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4014445485 | ||||||||
| FaxNumber: | 4014446212 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/07/2006 | ||||||||
| LastUpdateDate: | 09/28/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 231H00000X | AUD00156 | RI | Y | Speech, Language and Hearing Service Providers | Audiologist |
No ID Information.