Organization
TAYLOR THERAPY CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOAN-ALICE TAYLOR PT PSYD (PRESIDENT TREASURER)
(860) 953-1204
Entity
Organization
Contact information
Practice address
9 ELMWOOD COURT, NEWINGTON, CT 06111
(860) 953-1204
(860) 953-1208
Mailing address
9 ELMWOOD COURT, NEWINGTON, CT 06111
(860) 953-1204
(860) 953-1208
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
225100000X
Physical Therapist
Primary
—
—
225700000X
Massage Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0432684002
CIGNA
—
01
—
080001617CT01
ANTHEM BLUE CROSS
—
01
—
104524300
US LABOR DEPT OWCP
—
01
—
2045718
AETNA
—
01
—
21153
UNITED BEHAVIORAL HEALTH
—
01
—
240000538CT01
ANTHEM BLUE CROSS
—
01
—
265593
UNITED BEHAVIORAL HEALTH
—
01
—
36501
ORTHONET
—
Enumeration date
09/27/2006
Last updated
12/14/2010
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