Individual
MS. JUDY MAUDINE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
THE TAYLOR FAMILY
Contact information
Practice address
5515 W LOOP 281, LONGVIEW, TX 75602-5440
(213) 297-7122
(646) 559-6670
Mailing address
5515 W LOOP 281, LONGVIEW, TX 75602-5440
(213) 297-7122
(646) 559-6670
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MEDICAID
—
TX
05
—
MEDICARE
—
TX
Enumeration date
04/15/2024
Last updated
04/15/2024
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