Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Taylor Villarreal, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1205494010

Taylor Villarreal, CCC-SLP is a Speech-Language Pathologist in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2019.

Licensed in
MI
In the registry since
2019
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

2505 Ardmore St SE
Grand Rapids, MI 49506-4924
Phone: (616) 559-1054
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 7101006241 (MI)

Record details

NPI number1205494010
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedJune 5, 2019
Last updated in NPPESJune 5, 2019

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