Organization
KC TAYLOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY C TAYLOR PSYD (OWNER/AUTHORIZED OFFICIAL)
(619) 549-9279
Entity
Organization
Contact information
Practice address
703 MILL CREEK RD STE E3, MANAHAWKIN, NJ 08050-3804
(619) 549-9279
Mailing address
703 MILL CREEK RD STE E3, MANAHAWKIN, NJ 08050-3804
(619) 549-9279
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
12/02/2021
Last updated
12/02/2021
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