Individual
GUY O TAYLOR SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10343 S WESTERN AVE, CHICAGO, IL 60643-2410
(916) 470-1816
Mailing address
10343 S WESTERN AVE, CHICAGO, IL 60643-2410
(916) 470-1816
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
167G00000X
Licensed Psychiatric Technician
PT30264
CA
Other
Enumeration date
01/23/2019
Last updated
10/14/2021
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