MEDICARE: DR. TAYLOR NICOLE DAY 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
1	103TC0700X	Clinical Psychologist	PS019551	PA

General Provider Information

NPI Number	:	1821677758
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TAYLOR NICOLE DAY PHD

Provider Business Mailing Address
First Line	:	170 E STATION SQUARE DR APT 482
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15219-1238
Country	:	US
Telephone Number	:	814-450-8863
Fax Number	:

Provider Business Practice Location Address
First Line	:	170 E STATION SQUARE DR
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15219-1229
Country	:	US
Telephone Number	:	814-450-8863
Fax Number	:

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

Provider Enumeration Date	:	04/07/2021
Last Update Date	:	02/03/2023

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