Individual
DR. JESSICA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
120 MEDICAL PARK DR STE 401, BRIDGEPORT, WV 26330-9013
(304) 848-2000
Mailing address
6 HOSPITAL PLZ, CLARKSBURG, WV 26301-9316
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
WV
Other
Enumeration date
11/02/2013
Last updated
11/18/2013
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