Individual
DR. JOHN ROBERT TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
136 HEBER AVE., SUITE 204, PARK CITY, UT 84068
(435) 647-2911
Mailing address
PO BOX 682077, PARK CITY, UT 84068-2077
(435) 647-2911
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
114801-2501
UT
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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