Individual
DR. KATIE BANNON TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
200 S SERVICE RD, ROSLYN HEIGHTS, NY 11577-2126
(347) 658-6124
Mailing address
122 E 82ND ST APT 2AB, NEW YORK, NY 10028-0822
(347) 658-6124
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
027745
NY
Other
Enumeration date
12/05/2025
Last updated
12/05/2025
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