Doctor Name: | NANCY TAYLOR |
NPI Number: | 1184656365 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 4035 |
Business Practice Address: | 351 Riverside Dr Mount Airy, NC - 270303850 |
Business Phone Number: | 3367836919 |
Business Fax Number: | 3367836923 |
Mailing Address: | 230 E Poplar St, MOUNT AIRY |
State: | NC |
Postal Code: | 270303646 |
Phone Number: | 3367836919 |
Fax Number: | 3367836923 |
NPI Enumeration Date: | 07/07/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 4035 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |