Individual
JOHN KEITH TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SCHOOL PSYCHOLOGIST
Contact information
Practice address
4417 N 66TH AVE, PHOENIX, AZ 85033-2712
(623) 691-4518
Mailing address
6755 E JUNIPER AVE, SCOTTSDALE, AZ 85254-5643
(480) 221-7328
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1849257
AZ
Other
Enumeration date
04/20/2007
Last updated
07/08/2007
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