Provider Demographics
NPI:1467077172
Name:JOHNSON-PRICE, TAYLOR ALISE (MA, CCC-SLP)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:ALISE
Last Name:JOHNSON-PRICE
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:507 WHIRLWIND PL
Mailing Address - Street 2:
Mailing Address - City:ST AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32095-0093
Mailing Address - Country:US
Mailing Address - Phone:404-791-1462
Mailing Address - Fax:
Practice Address - Street 1:1375 ROBERTS DR STE 202B
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE BEACH
Practice Address - State:FL
Practice Address - Zip Code:32250-3209
Practice Address - Country:US
Practice Address - Phone:904-627-1492
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-09
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist