Individual
TAYLOR GOTOVAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
831 GROVE RD STE C, MIDLOTHIAN, VA 23114-2666
(804) 794-6600
Mailing address
831 GROVE RD STE C, MIDLOTHIAN, VA 23114-2666
(804) 794-6600
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810008239
VA
103TC0700X
Clinical Psychologist
33590
CA
Other
Enumeration date
10/22/2015
Last updated
10/09/2023
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