Individual
DR. DOUGLAS ALLEN TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
130 ELM ST, STE 100, WORCESTER, MA 01609-1903
(508) 363-4900
(508) 753-1785
Mailing address
12 RUSTIC DRIVE, WORCESTER, MA 01609
(508) 752-1660
(508) 753-1785
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2595
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W02782
BLUE CROSS/BLUE SHIELD
MA
Enumeration date
10/03/2006
Last updated
05/04/2018
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