| Doctor Name: | MRS. CORITA TAYLOR |
| NPI Number: | 1013157502 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 2003006303 |
| Business Practice Address: | 737 Dunn Rd Hazelwood, MO - 630421740 |
| Business Phone Number: | 3145046870 |
| Business Fax Number: | |
| Mailing Address: | 14827 Understanding Ct, FLORISSANT |
| State: | MO |
| Postal Code: | 630343131 |
| Phone Number: | 3145046870 |
| Fax Number: | 3149721305 |
| NPI Enumeration Date: | 02/24/2009 |
| NPI Last Update Date: | 02/24/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 2003006303 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |