Healthcare Provider Details
I. General information
NPI: 1942307517
Provider Name (Legal Business Name): MARGARET CONDON TAYLOR PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/17/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8303 PLATT RD
SALINE MI
48176-9773
US
IV. Provider business mailing address
PO BOX 2060
ANN ARBOR MI
48106-2060
US
V. Phone/Fax
- Phone: 734-295-4352
- Fax: 734-429-4561
- Phone: 734-295-4352
- Fax: 734-429-4561
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | 6301003873 |
| License Number State | MI |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TF0200X |
| Taxonomy | Forensic Psychologist |
| License Number | 6301003873 |
| License Number State | MI |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: