Individual
DR. ELISE SPINA TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
610 SW 34TH ST, SUITE 301, FORT LAUDERDALE, FL 33315-3623
(786) 236-7795
Mailing address
610 SW 34TH ST, SUITE 301, FORT LAUDERDALE, FL 33315-3623
(786) 236-7795
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY 7765
FL
Other
Enumeration date
02/06/2011
Last updated
06/13/2011
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