Healthcare Provider Details

I. General information

NPI: 1609909381
Provider Name (Legal Business Name): JUNE TAYLOR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/13/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

456 N PITT ST
MERCER PA
16137-1129
US

IV. Provider business mailing address

601 WOODLAND AVE
GROVE CITY PA
16127-1949
US

V. Phone/Fax

Practice location:
  • Phone: 724-662-7202
  • Fax: 724-662-7208
Mailing address:
  • Phone: 724-458-8848
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: