Healthcare Provider Details

I. General information

NPI: 1700232642
Provider Name (Legal Business Name): REBECCA TAYLOR B.A
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/10/2016
Last Update Date: 12/23/2025
Certification Date: 12/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 LOCUST ST
FALL RIVER MA
02720-5016
US

IV. Provider business mailing address

67 BRYANT ST
BERKLEY MA
02779-1504
US

V. Phone/Fax

Practice location:
  • Phone: 508-679-4333
  • Fax:
Mailing address:
  • Phone: 508-821-8340
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: