Healthcare Provider Details

I. General information

NPI: 1609092535
Provider Name (Legal Business Name): KAREN M. TAYLOR PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/18/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 W WILSON BRIDGE RD SUUITE 350
WORTHINGTON OH
43085-2237
US

IV. Provider business mailing address

3883 OLENTANGY BLVD
COLUMBUS OH
43214-3533
US

V. Phone/Fax

Practice location:
  • Phone: 614-436-6080
  • Fax: 614-688-3440
Mailing address:
  • Phone: 614-268-7138
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TP0016X
TaxonomyPrescribing (Medical) Psychologist
License Number3032
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: