Healthcare Provider Details

I. General information

NPI: 1942946751
Provider Name (Legal Business Name): TAYLOR HARPER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2022
Last Update Date: 05/05/2022
Certification Date: 05/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

790 E COLORADO BLVD
PASADENA CA
91101-2113
US

IV. Provider business mailing address

8850 E CLOUDVIEW WAY
ANAHEIM CA
92808-1676
US

V. Phone/Fax

Practice location:
  • Phone: 626-354-6440
  • Fax:
Mailing address:
  • Phone: 815-641-3529
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: