Organization
PENNISSI P. TAYLOR PH.D,PC
Active
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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