Individual
JESSICA LEIGH TAYLOR
Active
Individual
JESSICA LEIGH TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS018742
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103613106
—
PA
01
—
14440077
CAQH
—
01
—
PS018742
STATE LICENSE
PA
Enumeration date
11/15/2013
Last updated
05/14/2024
Update your record
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