| Taylor Psychological Innovators Inc. | |
|
44 Visitacion Ave Ste 103 Brisbane CA 94005-1575 | |
| (415) 866-8508 | |
| Not Available |
| Full Name | Taylor Psychological Innovators Inc. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 44 Visitacion Ave Ste 103, Brisbane, California |
| Authorized Official Name and Position | Enna Emperatriz Taylor (CEO) |
| Authorized Official Contact | 4158668508 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Taylor Psychological Innovators Inc. 44 Visitacion Ave Ste 103 Brisbane CA 94005-1575 Ph: (415) 508-9290 | Taylor Psychological Innovators Inc. 44 Visitacion Ave Ste 103 Brisbane CA 94005-1575 Ph: (415) 866-8508 |
| NPI Number | 1811487598 |
|---|---|
| Provider Enumeration Date | 05/17/2018 |
| Last Update Date | 07/03/2024 |
| Certification Date | 07/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811487598 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TF0200X | Psychologist - Forensic | PSY29272 (California) | Secondary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |