Doctor Name: | KELLY J TAYLOR |
NPI Number: | 1023022845 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS,MA |
License Number: | |
Business Practice Address: | 386 Stanley St Fall River, MA - 027206009 |
Business Phone Number: | 5086795222 |
Business Fax Number: | 5086765671 |
Mailing Address: | 386 Stanley St, FALL RIVER |
State: | MA |
Postal Code: | 027206009 |
Phone Number: | 5086795222 |
Fax Number: | 5086765671 |
NPI Enumeration Date: | 07/28/2006 |
NPI Last Update Date: | 01/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |