Individual
SHAWN TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
39 CEDAR CT, ROYERSFORD, PA 19468-1492
(215) 301-4100
Mailing address
39 CEDAR CT, ROYERSFORD, PA 19468-1492
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
BH003607
PA
Other
Enumeration date
10/13/2017
Last updated
10/13/2017
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