Simone Taylor in Berkeley - Family

Simone Taylor - NPI 1093905556

Simone Taylor is a Family in Berkeley, California. Simone Taylor practices all healthcare services and medical treatments related to Family. The NPI Number for Simone Taylor is 1093905556. The last update date is 2011-03-09.

Simone Taylor's current location address is 3075 Adeline St, Berkeley, California. You can contact this provider via phone number 5108481112 and fax number 5108484445. The mailing address for Simone Taylor is 3075 Adeline St, Berkeley, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Simone Taylor
Address 3075 Adeline St, Berkeley, California
Phone Number 5108481112
Fax Number 5108484445
Sole Proprietor N
Credentials PSYD

NPI Number Detail

NPI Number 1093905556
Provider Enumeration Date 2007-07-30
Last Updated Date 2011-03-09

Provider Mailing Address Detail

Address 3075 Adeline St
City Berkeley
State California (CA)
Post Code 947032576
Phone Number 5108481112
Fax Number 5108484445

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 103Tf0000X
Licence No RPS2005234
Definition:
A psychologist whose specialty is founded on principles of systems theory with the interpersonal system of the family the focus of assessment, intervention and research.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
01CR CA MEDI-CAL

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FAQs about Simone Taylor

What is the unique provider identifier assigned to Simone Taylor?

The Simone Taylor has been issued the NPI (National Provider Identifier) 1093905556 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where Simone Taylor is geographically located?

The Simone Taylor is physically situated at the following location: 3075 Adeline St, Berkeley, CA, 947032576.

What is Simone Taylor's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Simone Taylor's specialized field of practice is Family, and the corresponding taxonomy code that categorizes this area of specialization is 103Tf0000X.

On what date did the Simone Taylor receive its 1093905556 assignment from the Centers for Medicare & Medicaid Services?

The Simone Taylor was assigned its 1093905556 by the Centers for Medicare & Medicaid Services on 2007-07-30.

As of what date were the Simone Taylor's details last updated?

The information pertaining to the Simone Taylor, including its address, specialty, and other details, was most recently updated on 2011-03-09.

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