| Travis Taylor Marriage And Family Therapy, Inc. | |
|
17662 Irvine Blvd Ste 7 Tustin CA 92780-3132 | |
| (909) 816-9417 | |
| Not Available |
| Full Name | Travis Taylor Marriage And Family Therapy, Inc. |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 17662 Irvine Blvd Ste 7, Tustin, California |
| Authorized Official Name and Position | Travis R Taylor (CEO) |
| Authorized Official Contact | 9098169417 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Travis Taylor Marriage And Family Therapy, Inc. 13530 Amanda Dr Chino CA 91710-4782 Ph: (909) 816-9417 | Travis Taylor Marriage And Family Therapy, Inc. 17662 Irvine Blvd Ste 7 Tustin CA 92780-3132 Ph: (909) 816-9417 |
| NPI Number | 1538728738 |
|---|---|
| Provider Enumeration Date | 06/11/2019 |
| Last Update Date | 06/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538728738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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