| Doctor Name: | MS. DEBRA JO TAYLOR |
| NPI Number: | 1053592782 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW,DST,CHT |
| License Number: | 7307 |
| Business Practice Address: | 6635 W Commercial Blvd Suite 215 Lauderhill, FL - 333192100 |
| Business Phone Number: | 9544614111 |
| Business Fax Number: | 9545870409 |
| Mailing Address: | 3021 Sw 22nd Ct, FORT LAUDERDALE |
| State: | FL |
| Postal Code: | 333124360 |
| Phone Number: | 9544614111 |
| Fax Number: | 9545870409 |
| NPI Enumeration Date: | 11/22/2007 |
| NPI Last Update Date: | 11/22/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 7307 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |