Doctor Name: | ANNE MARIE TAYLOR |
NPI Number: | 1023430154 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 891 Mountain Ranch Rd San Andreas, CA - 952499713 |
Business Phone Number: | 2097546525 |
Business Fax Number: | |
Mailing Address: | 891 Mountain Ranch Rd, SAN ANDREAS |
State: | CA |
Postal Code: | 952499713 |
Phone Number: | 2097546525 |
Fax Number: | 2097546534 |
NPI Enumeration Date: | 01/08/2014 |
NPI Last Update Date: | 01/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |