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NPI Code Detail

MEDICARE: SHELBEY LYNN TAYLOR

MEDICARE: SHELBEY LYNN 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
1101YP2500XProfessional Counselor11453OK

General Provider Information

NPI Number : 1841711587
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHELBEY LYNN TAYLOR
Provider Business Mailing Address
First Line : 10344 BIRKENHEAD RD
Second Line :
City : YUKON
State : OK
Zip : 73099-7504
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7777 E US HIGHWAY 66
Second Line :
City : EL RENO
State : OK
Zip : 73036-9125
Country : US
Telephone Number : 405-422-8800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2017
Last Update Date : 05/21/2026

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Directions to “ SHELBEY LYNN TAYLOR ” Practice Location

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