MEDICARE: DR. WILLIAM TAYLOR PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	35SI00386600	NJ

General Provider Information

NPI Number	:	1013122985
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM TAYLOR PH.D.

Provider Business Mailing Address
First Line	:	6 MINNEAKONING RD
Second Line	:
City	:	FLEMINGTON
State	:	NJ
Zip	:	08822-5728
Country	:	US
Telephone Number	:	908-806-7490
Fax Number	:	908-806-7491

Provider Business Practice Location Address
First Line	:	6 MINNEAKONING RD
Second Line	:
City	:	FLEMINGTON
State	:	NJ
Zip	:	08822-5728
Country	:	US
Telephone Number	:	908-806-7490
Fax Number	:	908-806-7491

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/13/2007
Last Update Date	:	10/18/2013

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