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NPI Code Detail

MEDICARE: HUDSON G TAYLOR PHD

MEDICARE: HUDSON G TAYLOR PHD
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
1103TC2200XClinical Child & Adolescent PsychologistP.4058OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1740208206
Entity Type Code : Individual
Provider Name (Legal Business Name) : HUDSON G TAYLOR PHD
Provider Business Mailing Address
First Line : 700 CHILDRENS DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43205-2639
Country : US
Telephone Number : 614-722-2000
Fax Number :
Provider Business Practice Location Address
First Line : 700 CHILDRENS DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43205-2639
Country : US
Telephone Number : 614-722-4700
Fax Number : 614-722-4718
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2006
Last Update Date : 04/09/2025

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Directions to “ HUDSON G TAYLOR PHD” Practice Location

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