Doctor Name: | DAVID TAYLOR |
NPI Number: | 1346590791 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CADC |
License Number: | 37CA00022900 |
Business Practice Address: | 4065 Quakerbridge Rd Princeton Junction, NJ - 085505243 |
Business Phone Number: | 6094823701 |
Business Fax Number: | |
Mailing Address: | 4065 Quakerbridge Rd, PRINCETON JUNCTION |
State: | NJ |
Postal Code: | 085505243 |
Phone Number: | 6094823701 |
Fax Number: | |
NPI Enumeration Date: | 09/13/2012 |
NPI Last Update Date: | 09/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 37CA00022900 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |