Taylor Psychological Innovators Inc. | |
44 Visitacion Ave Ste 103 Brisbane CA 94005-1575 | |
(415) 866-8508 | |
Not Available |
Full Name | Taylor Psychological Innovators Inc. |
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Speciality | Psychologist - Clinical |
Location | 44 Visitacion Ave Ste 103, Brisbane, California |
Authorized Official Name and Position | Enna Emperatriz Taylor (CEO) |
Authorized Official Contact | 4158668508 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Taylor Psychological Innovators Inc. 44 Visitacion Ave Ste 103 Brisbane CA 94005-1575 Ph: (415) 508-9290 | Taylor Psychological Innovators Inc. 44 Visitacion Ave Ste 103 Brisbane CA 94005-1575 Ph: (415) 866-8508 |
NPI Number | 1811487598 |
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Provider Enumeration Date | 05/17/2018 |
Last Update Date | 07/03/2024 |
Certification Date | 07/03/2024 |
Identifier | Type | State | Issuer |
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1811487598 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
103TF0200X | Psychologist - Forensic | PSY29272 (California) | Secondary |