Healthcare Provider Details

I. General information

NPI: 1942499801
Provider Name (Legal Business Name): JAMES EDWARD TAYLOR PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/17/2007
Last Update Date: 07/23/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

244 HIGH WATCH RD
EFFINGHAM NH
03882-8336
US

IV. Provider business mailing address

244 HIGH WATCH RD
EFFINGHAM NH
03882-8336
US

V. Phone/Fax

Practice location:
  • Phone: 800-473-4221
  • Fax: 800-473-6666
Mailing address:
  • Phone: 800-473-4221
  • Fax: 800-473-6666

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: