Doctor Name: | MARJORIE TAYLOR |
NPI Number: | 1245558584 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ATR, LCAT, LPC |
License Number: | 46.002658 |
Business Practice Address: | 44 S Main St Ste 5 East Windsor, CT - 060881702 |
Business Phone Number: | 8602545127 |
Business Fax Number: | |
Mailing Address: | 428 Hall Hill Rd, SOMERS |
State: | CT |
Postal Code: | 060711031 |
Phone Number: | 8609125366 |
Fax Number: | |
NPI Enumeration Date: | 05/11/2010 |
NPI Last Update Date: | 11/25/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 46.002658 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |