| Taylor Psychological Clinic P C | |
|
3405 Westwood Pkwy Flint MI 48503-4686 | |
| (810) 232-8466 | |
| (810) 232-7413 |
| Full Name | Taylor Psychological Clinic P C |
|---|---|
| Speciality | Psychologist |
| Location | 3405 Westwood Pkwy, Flint, Michigan |
| Authorized Official Name and Position | Maxwell F. Taylor (CEO/PRESIDENT) |
| Authorized Official Contact | 8102328466 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Taylor Psychological Clinic P C Po Box 10 Mason MI 48854-0010 Ph: () - | Taylor Psychological Clinic P C 3405 Westwood Pkwy Flint MI 48503-4686 Ph: (810) 232-8466 |
| NPI Number | 1134203797 |
|---|---|
| Provider Enumeration Date | 10/24/2006 |
| Last Update Date | 10/29/2023 |
| Certification Date | 10/29/2023 |
| Medicare PECOS PAC ID | 6901813955 |
|---|---|
| Medicare Enrollment ID | O20140815000821 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134203797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 6301005616 (Michigan) | Primary |
| Provider Name | Michael H Gotlib |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588600886 PECOS PAC ID: 0345222519 Enrollment ID: I20040602000597 |
| Provider Name | Harry J Fulton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053570804 PECOS PAC ID: 1850360108 Enrollment ID: I20041001001087 |
| Provider Name | Laverne Mcgowan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619000650 PECOS PAC ID: 4183685472 Enrollment ID: I20041020000692 |
| Provider Name | Maxwell F Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922182567 PECOS PAC ID: 4880601830 Enrollment ID: I20120118000864 |
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