Individual
JANICE C TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA EDS PHD
Contact information
Practice address
110 MORDINGTON AVENUE, JEFFERSON COUNTY BOARD OF EDUCATION, CHARLES TOWN, WV 25414
(304) 725-9741
Mailing address
PO BOX 1693, MARTINSBURG, WV 25402
(304) 274-2512
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1796
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0166283000
—
WV
Enumeration date
03/10/2008
Last updated
03/10/2008
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