Individual
DR. NICHOLAS DALE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
8701 SHOAL CREEK BLVD STE 404, AUSTIN, TX 78757-6809
(513) 813-0640
Mailing address
8701 SHOAL CREEK BLVD STE 404, AUSTIN, TX 78757-6809
(513) 813-0640
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
38203
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38203
STATE PSYCHOLOGY PRACTICE LICENSE
TX
Enumeration date
08/11/2014
Last updated
10/22/2022
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