MEDICARE: DR. MAY P TAY PH.D.

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	103TF0200X	Forensic Psychologist	PY 0005781	FL
2	103TC0700X	Clinical Psychologist	PY 0005781	FL

General Provider Information

NPI Number	:	1932485836
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MAY P TAY PH.D.

Provider Business Mailing Address
First Line	:	519 WILSON AVE
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32303-6258
Country	:	US
Telephone Number	:	850-528-7515
Fax Number	:

Provider Business Practice Location Address
First Line	:	1208 NW 6TH ST
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32601-4245
Country	:	US
Telephone Number	:	850-528-7515
Fax Number	:

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

Provider Enumeration Date	:	10/25/2011
Last Update Date	:	06/07/2022

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