Individual
DR. NORMA J TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
600 25TH AVE S, STE 109, SAINT CLOUD, MN 56301-4841
(320) 255-0343
(320) 654-0318
Mailing address
600 25TH AVE S, STE 109, SAINT CLOUD, MN 56301-4841
(320) 255-0343
(320) 654-0318
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1862
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084850600
—
MN
01
—
191033
MAYO MANAGEMENT
—
01
—
6112115
UBH MEDICA SELECT CARE
—
01
—
76D27TA
BLUE CROSS BLUE PLUS
—
Enumeration date
11/18/2005
Last updated
11/01/2012
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