Individual
DR. PHILIP RAYMOND TAFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
715 W 2ND AVE, CORSICANA, TX 75110-3012
(903) 872-4442
(903) 642-2550
Mailing address
715 W 2ND AVE, CORSICANA, TX 75110-3012
(903) 872-4442
(903) 642-2550
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
31452
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699936-01
—
TX
Enumeration date
03/01/2007
Last updated
01/09/2024
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