Doctor Name: | DR. DAWN MARIE TAYLOR |
NPI Number: | 1962501882 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSYD, LP |
License Number: | LP4561 |
Business Practice Address: | 6490 Excelsior Blvd. Suite W505 St. Louis Park, MN - 55426 |
Business Phone Number: | 9529936200 |
Business Fax Number: | |
Mailing Address: | 6465 Wazata Blvd., Suite 315 MINNEAPOLIS |
State: | MN |
Postal Code: | 55426 |
Phone Number: | 9529936200 |
Fax Number: | |
NPI Enumeration Date: | 09/21/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TB0200X |
License Number: | LP4561 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Cognitive & Behavioral |
Taxonomy Definition: |