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NPI Code Detail

MEDICARE: MRS. HELAYNA F TAYLOR PH.D.

MEDICARE: MRS. HELAYNA F 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
1103T00000XPsychologistPSY13546CA

General Provider Information

NPI Number : 1396751251
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. HELAYNA F TAYLOR PH.D.
Provider Business Mailing Address
First Line : PO BOX 227
Second Line :
City : LAGUNITAS
State : CA
Zip : 94938-0227
Country : US
Telephone Number : 415-518-1626
Fax Number :
Provider Business Practice Location Address
First Line : 825 COLLEGE AVE
Second Line : STE 7
City : SANTA ROSA
State : CA
Zip : 95404-4108
Country : US
Telephone Number : 415-518-1626
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2006
Last Update Date : 08/15/2018

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