# TISH HOLUB TAYLOR, PH.D.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639363716
- **Authorized official:** TISH HOLUB TAYLOR PH.D. (PSYCHOLOGIST)
- **Authorized official phone:** (913) 491-3680

## Contact information

- **Practice address:** 515 N MUR LEN RD, OLATHE, KS 66062-1267
- **Practice address phone:** (913) 375-6273
- **Mailing address:** 12125 HORTON ST, OVERLAND PARK, KS 66209-2771
- **Mailing address phone:** (913) 491-3680

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | 1284 | KS | Yes |

## Other

- **Enumeration date:** 08/30/2007
- **Last updated:** 08/30/2007