MEDICARE: PATRICIA H. TAYLOR LMFT, 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	106H00000X	Marriage & Family Therapist	MT3709	FL

General Provider Information

NPI Number	:	1932725991
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA H. TAYLOR LMFT, PHD

Provider Business Mailing Address
First Line	:	2314 ADAMS ST
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33020-5590
Country	:	US
Telephone Number	:	954-204-1896
Fax Number	:

Provider Business Practice Location Address
First Line	:	5421 N UNIVERSITY DR STE 102
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33067-4638
Country	:	US
Telephone Number	:	732-580-8383
Fax Number	:	954-340-6859

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

Provider Enumeration Date	:	06/24/2020
Last Update Date	:	06/24/2020

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