Individual
DR. JOHN MICHAEL TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
969 TOURAINE AVE, EAST LANSING, MI 48823-2437
(517) 336-0253
Mailing address
969 TOURAINE AVE, EAST LANSING, MI 48823-2437
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301008165
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
458520000
MAGELLAN PROVIDER
MI
01
—
68OC311520
BCBS PROVIDER
MI
Enumeration date
01/23/2006
Last updated
02/22/2023
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