MEDICARE: TAYLOR HURLEY-RIOUX

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TS0200X	School Psychologist	689825	NJ

General Provider Information

NPI Number	:	1326806290
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAYLOR HURLEY-RIOUX

Provider Business Mailing Address
First Line	:	559 DREXEL AVE
Second Line	:
City	:	LAWRENCE TOWNSHIP
State	:	NJ
Zip	:	08648-3844
Country	:	US
Telephone Number	:	609-970-2351
Fax Number	:

Provider Business Practice Location Address
First Line	:	559 DREXEL AVE
Second Line	:
City	:	LAWRENCE TOWNSHIP
State	:	NJ
Zip	:	08648-3844
Country	:	US
Telephone Number	:	609-970-2351
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/06/2024
Last Update Date	:	03/06/2024

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Directions to “ TAYLOR HURLEY-RIOUX ” Practice Location

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