Michael Lee Taylor

NPI #1154946804 in Fairfield, California

Provider Information

NPI Number: 1154946804
Entity Type: Individual
Name: Michael Lee Taylor
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jun 9, 2020
Last Updated: Oct 3, 2023

Practice Location

Address: 2101 COURAGE DR
City: Fairfield
State: California
ZIP Code: 94533-6717
Phone: (707) 784-2080

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X
Case Manager/Care Coordinator	171M00000X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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