Healthcare Provider Details

I. General information

NPI: 1437542966
Provider Name (Legal Business Name): DEBORAH JOY TAYLOR MA, LLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DEBORAH JOY TAYLOR-BOOKER MA, LLP

II. Dates (important events)

Enumeration Date: 03/09/2015
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

540 JENNER DR
ALLEGAN MI
49010-1517
US

IV. Provider business mailing address

540 JENNER DR
ALLEGAN MI
49010-1517
US

V. Phone/Fax

Practice location:
  • Phone: 269-673-6617
  • Fax: 269-673-2738
Mailing address:
  • Phone: 269-673-6617
  • Fax: 269-673-2738

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number6361006553
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: