Individual
MRS. NICOLE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., J.D.
Contact information
Practice address
321 N. BAILEY STREET, #D, FLORENCE, AZ 85132
(480) 510-5549
Mailing address
530 E HUNT HWY, STE. 103-250, SAN TAN VALLEY, AZ 85143-6581
(480) 510-5549
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3821
AZ
Other
Enumeration date
07/27/2010
Last updated
07/27/2010
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