Doctor Name: | DR. PEGGY SUE TAYLOR |
NPI Number: | 1285846840 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D |
License Number: | 5335545-2501 |
Business Practice Address: | 898 W Grand Canyon Dr Kanab, UT - 847416020 |
Business Phone Number: | 4356443372 |
Business Fax Number: | 4356443372 |
Mailing Address: | 898 W Grand Canyon Dr, KANAB |
State: | UT |
Postal Code: | 847416020 |
Phone Number: | 4356443372 |
Fax Number: | 4356443372 |
NPI Enumeration Date: | 05/04/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 5335545-2501 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |