Doctor Name: | MR. RICHARD STEVEN TAYLOR |
NPI Number: | 1710105143 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC, LMSW |
License Number: | 04914 |
Business Practice Address: | 301 Fairway Drive Willow Park, TX - 760878891 |
Business Phone Number: | 8173196590 |
Business Fax Number: | |
Mailing Address: | 301 Fairway Drive, WILLOW PARK |
State: | TX |
Postal Code: | 760878891 |
Phone Number: | 8173196590 |
Fax Number: | |
NPI Enumeration Date: | 04/23/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 04914 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |