MEDICARE: MARCIE DENISE TAYLOR

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	106H00000X	Marriage & Family Therapist
2	101Y00000X	Counselor
3	106H00000X	Marriage & Family Therapist	147795	CA

General Provider Information

NPI Number	:	1639584568
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARCIE DENISE TAYLOR

Provider Business Mailing Address
First Line	:	5151 N PALM AVE STE 610
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93704-2208
Country	:	US
Telephone Number	:	559-347-8176
Fax Number	:

Provider Business Practice Location Address
First Line	:	5151 N PALM AVE STE 610
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93704-2208
Country	:	US
Telephone Number	:	559-347-8176
Fax Number	:

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

Provider Enumeration Date	:	06/30/2014
Last Update Date	:	05/08/2026

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Directions to “ MARCIE DENISE TAYLOR ” Practice Location

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