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NPI Code Detail

MEDICARE: DR. DAVID L TAYLOR PH.D.

MEDICARE: DR. DAVID L 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
1103TC0700XClinical PsychologistPSB 29574CA

General Provider Information

NPI Number : 1619013786
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID L TAYLOR PH.D.
Provider Business Mailing Address
First Line : 8910 CLAIREMONT MESA BLVD
Second Line :
City : SAN DIEGO
State : CA
Zip : 92123-1104
Country : US
Telephone Number : 760-788-9724
Fax Number : 760-489-4129
Provider Business Practice Location Address
First Line : 8910 CLAIREMONT MESA BLVD
Second Line :
City : SAN DIEGO
State : CA
Zip : 92123-1104
Country : US
Telephone Number : 760-788-9724
Fax Number : 760-489-4129
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2007
Last Update Date : 03/02/2011

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Directions to “ DR. DAVID L TAYLOR PH.D.” Practice Location

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