Individual
TAYLOR BEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4215 AVENUE I, SCOTTSBLUFF, NE 69361-4902
(308) 635-3696
Mailing address
14860 AUDUBON LAKE BLVD, GULFPORT, MS 39503-6252
(504) 615-4019
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
20240009498
NE
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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