Individual
DR. MAXINE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
9199 REISTERSTOWN RD STE 202B, OWINGS MILLS, MD 21117-4579
(443) 227-4076
Mailing address
3505 ECHODALE AVE, BALTIMORE, MD 21214-2704
(443) 722-7956
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC12351
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LC12351
MEDICAL LICENSE
MD
Enumeration date
02/10/2022
Last updated
02/10/2022
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