Individual
DR. NATHANAEL TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
777 BANNOCK ST, DENVER, CO 80204-4597
(303) 436-6000
Mailing address
301 E 21ST ST APT BSMT, CHEYENNE, WY 82001-3761
(806) 790-9109
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSYC.00013825
CO
Other
Enumeration date
07/17/2018
Last updated
03/08/2021
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