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NPI Code Detail

MEDICARE: MR. CHRISTOPHER SCOTT TAYLOR MA, LPC

MEDICARE: MR. CHRISTOPHER SCOTT TAYLOR MA, LPC
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
1101YP2500XProfessional Counselor68096TX

General Provider Information

NPI Number : 1588099576
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CHRISTOPHER SCOTT TAYLOR MA, LPC
Provider Business Mailing Address
First Line : 2201 WOLF ST APT 5205
Second Line :
City : DALLAS
State : TX
Zip : 75201-1131
Country : US
Telephone Number : 979-574-3717
Fax Number :
Provider Business Practice Location Address
First Line : 2201 WOLF ST SUITE 5205
Second Line :
City : DALLAS
State : TX
Zip : 75201
Country : US
Telephone Number : 979-574-3717
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2013
Last Update Date : 09/09/2013

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