Individual
DR. CHARLES REID TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
109 ATLANTIC ST, JERSEY CITY, NJ 07304-2303
(551) 697-1687
Mailing address
109 ATLANTIC ST, JERSEY CITY, NJ 07304-2303
(551) 697-1687
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00071200
NJ
Other
Enumeration date
10/01/2013
Last updated
10/01/2013
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