Doctor Name: | MRS. DAISY BERNICE TAYLOR |
NPI Number: | 1003154980 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA |
License Number: | MH 10185 |
Business Practice Address: | 433 California St Woodland, CA - 956953758 |
Business Phone Number: | 5308670278 |
Business Fax Number: | 5306613819 |
Mailing Address: | 429 Falcon Dr, WOODLAND |
State: | CA |
Postal Code: | 956955869 |
Phone Number: | 5308670278 |
Fax Number: | |
NPI Enumeration Date: | 01/28/2013 |
NPI Last Update Date: | 01/28/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MH 10185 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |