| Marc Taylor Phd, Psychologist, P.c. | |
|
1375 Ne Yaquina Heights Dr Newport OR 97365-9567 | |
| (541) 556-1860 | |
| (541) 343-2751 |
| Full Name | Marc Taylor Phd, Psychologist, P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 1375 Ne Yaquina Heights Dr, Newport, Oregon |
| Authorized Official Name and Position | Marc E Taylor (PRESIDENT) |
| Authorized Official Contact | 5415561860 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marc Taylor Phd, Psychologist, P.c. 1375 Ne Yaquina Heights Dr Newport OR 97365-9567 Ph: (541) 556-1860 | Marc Taylor Phd, Psychologist, P.c. 1375 Ne Yaquina Heights Dr Newport OR 97365-9567 Ph: (541) 556-1860 |
| NPI Number | 1013102383 |
|---|---|
| Provider Enumeration Date | 09/10/2007 |
| Last Update Date | 12/20/2023 |
| Certification Date | 12/20/2023 |
| Medicare PECOS PAC ID | 5092779025 |
|---|---|
| Medicare Enrollment ID | O20240125001190 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013102383 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Marc Edwin Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053471201 PECOS PAC ID: 3577527514 Enrollment ID: I20041122000095 |
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