Healthcare Provider Details

I. General information

NPI: 1376139352
Provider Name (Legal Business Name): ALLISON ELIZABETH TAYLOR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/14/2020
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1390 WILLOW PASS RD STE 1000
CONCORD CA
94520-5283
US

IV. Provider business mailing address

1390 WILLOW PASS RD STE 1000
CONCORD CA
94520-5283
US

V. Phone/Fax

Practice location:
  • Phone: 925-943-1794
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberASW140469
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: