| Cliffordtaylorphdpsychologicalservicesinc | |
|
615 Brookside Ave Ste A Redlands CA 92373-4670 | |
| (909) 335-8890 | |
| (909) 307-1335 |
| Full Name | Cliffordtaylorphdpsychologicalservicesinc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 615 Brookside Ave Ste A, Redlands, California |
| Authorized Official Name and Position | Clifford D Taylor (OWNER) |
| Authorized Official Contact | 9092132542 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cliffordtaylorphdpsychologicalservicesinc Po Box 1963 Yucaipa CA 92399-1454 Ph: (909) 213-2542 | Cliffordtaylorphdpsychologicalservicesinc 615 Brookside Ave Ste A Redlands CA 92373-4670 Ph: (909) 335-8890 |
| NPI Number | 1568176501 |
|---|---|
| Provider Enumeration Date | 01/12/2023 |
| Last Update Date | 01/12/2023 |
| Certification Date | 01/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568176501 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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