Doctor Name: | JOY TAYLOR |
NPI Number: | 1770989386 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 214301 |
Business Practice Address: | 110 1st St Mead, OK - 734495237 |
Business Phone Number: | 5803807173 |
Business Fax Number: | |
Mailing Address: | 110 1st St, MEAD |
State: | OK |
Postal Code: | 734495237 |
Phone Number: | 5803807173 |
Fax Number: | |
NPI Enumeration Date: | 11/10/2014 |
NPI Last Update Date: | 11/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YS0200X |
License Number: | 214301 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | School |
Taxonomy Definition: |