Individual
CHERYL ELLEN TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA EDS
Contact information
Practice address
1333 SOUTHVIEW DRIVE, BLUEFIELD, WV 24701-4317
(304) 325-4673
(304) 327-9210
Mailing address
118 12TH STREET, PRINCETON, WV 24740-2352
(304) 487-7936
(304) 487-7835
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
997
WV
103TB0200X
Cognitive & Behavioral Psychologist
997
—
103TC0700X
Clinical Psychologist
Primary
997
WV
103TC1900X
Counseling Psychologist
997
WV
103TC2200X
Clinical Child & Adolescent Psychologist
997
—
103TF0000X
Family Psychologist
997
—
103TF0200X
Forensic Psychologist
997
WV
103TF0200X
Forensic Psychologist
997
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
997
WV
103TP2701X
Group Psychotherapy Psychologist
997
WV
103TS0200X
School Psychologist
0
WV
106H00000X
Marriage & Family Therapist
997
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810016308
—
WV
Enumeration date
11/09/2009
Last updated
07/21/2022
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