Doctor Name: | MRS. TANYA DENISE TAYLOR |
NPI Number: | 1346369246 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LSCW |
License Number: | LC4216 |
Business Practice Address: | 71 Ledge Rd Yarmouth, ME - 040967555 |
Business Phone Number: | 2078460612 |
Business Fax Number: | |
Mailing Address: | 71 Ledge Rd, YARMOUTH |
State: | ME |
Postal Code: | 040967555 |
Phone Number: | 2078460612 |
Fax Number: | |
NPI Enumeration Date: | 03/29/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LC4216 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |