Individual
CHARLES TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1141 DIVISION ST, NAPA, CA 94559-3333
(707) 332-3803
Mailing address
PO BOX 825, NAPA, CA 94559-0825
(707) 332-3803
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY9951
CA
Other
Enumeration date
04/12/2009
Last updated
04/12/2009
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