Organization
PENNISSI P. TAYLOR PH.D,PC
Active
Other names
The Taylor Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PENNISSI PATRICK TAYLOR PH.D. (OWNER)
(325) 649-4357
Entity
Organization
Contact information
Practice address
205 CENTER AVE., BROWNWOOD, TX 76801-2919
(325) 649-4357
(325) 646-0919
Mailing address
PO BOX 1391, BROWNWOOD, TX 76804-1391
(325) 649-4357
(325) 646-0919
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
15762
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007QC
BCBS
TX
01
—
203875
VALUE OPTIONS INSURANCE
TX
Enumeration date
01/26/2007
Last updated
12/12/2024
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