Fazil, Tayler Rae

Fazil, Tayler Rae is an individual health care provider with primary practice located at 2133 Vadalabene Dr , Maryville IL 62062-5839. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Fazil, Tayler Rae can be contacted via phone (618) 391-6714.

Contact Information

Primary practice address
2133 Vadalabene Dr Maryville IL 62062-5839
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 2017029220 Missouri

Profile Details

NPI number 1457870131
LBN Legal business name Fazil, Tayler Rae
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2017
Last updated Jul 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers