| Doctor Name: | BRYAN TAYLOR |
| NPI Number: | 1265810501 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LSSP, LPC-S |
| License Number: | 9922 |
| Business Practice Address: | 606 Avenue J Marble Falls, TX - 786545146 |
| Business Phone Number: | 8306930530 |
| Business Fax Number: | 8306377438 |
| Mailing Address: | Po Box 1731, MARBLE FALLS |
| State: | TX |
| Postal Code: | 786547731 |
| Phone Number: | 8306930530 |
| Fax Number: | 8306377438 |
| NPI Enumeration Date: | 05/06/2015 |
| NPI Last Update Date: | 05/06/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 9922 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |