Doctor Name: | MICHELE TAYLOR |
NPI Number: | 1235274622 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PLMHP |
License Number: | 8028 |
Business Practice Address: | 525 S 9th Ave Broken Bow, NE - 688222457 |
Business Phone Number: | 3088725040 |
Business Fax Number: | 3088725060 |
Mailing Address: | 2608 Old Fair Rd, GRAND ISLAND |
State: | NE |
Postal Code: | 688035271 |
Phone Number: | 3083825297 |
Fax Number: | 3083825315 |
NPI Enumeration Date: | 02/21/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 8028 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |