| Doctor Name: | MS. PENNY ANNETTE TAYLOR |
| NPI Number: | 1053522789 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.M.H.C. |
| License Number: | MH4327 |
| Business Practice Address: | 450 E Highway 50 # Sut6 Clermont, FL - 347112581 |
| Business Phone Number: | 3522439733 |
| Business Fax Number: | |
| Mailing Address: | Po Box 953363, LAKE MARY |
| State: | FL |
| Postal Code: | 327953363 |
| Phone Number: | 4072277599 |
| Fax Number: | |
| NPI Enumeration Date: | 05/24/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MH4327 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |