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Individual
DR. ROBERT CALVIN TAYLOR
Active
Individual
DR. ROBERT CALVIN TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY10409
CA
103TC0700X
Clinical Psychologist
PSY10409
CA
103TC2200X
Clinical Child & Adolescent Psychologist
PSY10409
CA
103TF0000X
Family Psychologist
PSY10409
CA
103TF0200X
Forensic Psychologist
PSY10409
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OPL104090
MEDICARE PTAN
CA
Enumeration date
01/03/2013
Last updated
01/03/2013
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