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NPI Code Detail

MEDICARE: LESLIE TAYLOR LMFT

MEDICARE: LESLIE TAYLOR LMFT
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
1106H00000XMarriage & Family TherapistFT0010097DE
2106H00000XMarriage & Family TherapistMF001387PA

General Provider Information

NPI Number : 1225685217
Entity Type Code : Individual
Provider Name (Legal Business Name) : LESLIE TAYLOR LMFT
Provider Business Mailing Address
First Line : 1133 MADRID ST
Second Line :
City : TOWNSEND
State : DE
Zip : 19734-2890
Country : US
Telephone Number : 610-306-7157
Fax Number :
Provider Business Practice Location Address
First Line : 200 CONTINENTAL DR STE 401
Second Line :
City : NEWARK
State : DE
Zip : 19713-4337
Country : US
Telephone Number : 302-314-5551
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2019
Last Update Date : 06/12/2024

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Directions to “ LESLIE TAYLOR LMFT” Practice Location

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