Individual
DR. MATTHEW TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
27645 E TRAIL RIDGE WAY APT 1007, MORENO VALLEY, CA 92555-3122
(951) 500-7636
Mailing address
27645 E TRAIL RIDGE WAY APT 1007, MORENO VALLEY, CA 92555-3122
(951) 500-7636
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
00060970
CA
Other
Enumeration date
04/23/2019
Last updated
04/23/2019
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