Basic Information
| Provider Information | |||||||||
| NPI: | 1447497870 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | TAYLOR | ||||||||
| FirstName: | DEBORAH | ||||||||
| MiddleName: | P | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | LMHC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 285 OLD WESTPORT RD | ||||||||
| Address2: | UMD/COUNSELING CENTER | ||||||||
| City: | N DARTMOUTH | ||||||||
| State: | MA | ||||||||
| PostalCode: | 027472356 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5089998000 | ||||||||
| FaxNumber: | 5089999192 | ||||||||
| Practice Location | |||||||||
| Address1: | 285 OLD WESTPORT RD | ||||||||
| Address2: | UMD/ COUNSELING CENTER | ||||||||
| City: | N DARTMOUTH | ||||||||
| State: | MA | ||||||||
| PostalCode: | 027472356 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5089998000 | ||||||||
| FaxNumber: | 5089999192 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/07/2009 | ||||||||
| LastUpdateDate: | 01/07/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | 6629 | MA | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.