=====================================================
General NPI Number Information
=====================================================
NPI Number | 1295952117
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DEBRA TAYLOR-MCGEE, INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/20/2007
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 320 N MERIDIAN ST SUITE 814
-----------------------------------------------------
City | INDIANAPOLIS
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 46204-1719
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 317-916-1749
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 320 N MERIDIAN ST SUITE 814
-----------------------------------------------------
City | INDIANAPOLIS
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 46204-1719
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 317-916-1749
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. DEBRA E. TAYLOR-MCGEE
-----------------------------------------------------
Credential | ED.D, HSPP
-----------------------------------------------------
Telephone | 317-916-1749
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103TC0700X
-----------------------------------------------------
Taxonomy Name | Clinical Psychologist
-----------------------------------------------------
License Number | 20040095A
-----------------------------------------------------
License Number State | IN
-----------------------------------------------------