Individual
DR. ANDREA LYNNE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
915 N GRAND BLVD, ST. LOUIS VA MEDICAL CENTER - 116B JC, SAINT LOUIS, MO 63106-1621
(314) 652-4100
(314) 289-7096
Mailing address
119 MADONNA DR, SAINT LOUIS, MO 63121-1133
(917) 548-1112
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
019511
NY
Other
Enumeration date
06/13/2012
Last updated
06/13/2012
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