Individual
DR. PAMELA ANN TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1551 JENNINGS MILL RD, SUITE 2000B, BOGART, GA 30622-2544
(706) 372-6055
(706) 354-6972
Mailing address
321 COLLEGE CIR, ATHENS, GA 30605-3629
(706) 372-6055
(706) 354-6972
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY001827
GA
103TC1900X
Counseling Psychologist
PSY001827
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005479097
AETNA
GA
01
—
52818639 003
BCBSGA
GA
Enumeration date
10/17/2005
Last updated
09/11/2025
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