Individual
ELIZABETH A TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3055 N LAKE CT, NEWBURGH, IN 47630
(812) 454-7872
Mailing address
3055 N LAKE CT, NEWBURGH, IN 47630
(812) 454-7872
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
02001727A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
137600D
RENDERING PROVIDER
IN
05
—
200092520
—
IN
Enumeration date
06/14/2006
Last updated
10/19/2016
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