Taylor, Courtney
Taylor, Courtney is an individual health care provider with primary practice located at 130 Powerville Rd , Boonton NJ 07005-8705. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Taylor, Courtney can be contacted via phone (973) 316-1903.Contact Information
Primary practice address
130 Powerville Rd
Boonton NJ 07005-8705
Phone: (973) 316-1903
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 44SL05916400 | New Jersey |
Profile Details
| NPI number | 1073930582 |
|---|---|
| LBN Legal business name | Taylor, Courtney |
| Credentials | LSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 2014 |
| Last updated | Mar 21st, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073930582 | NPPES |
| New Jersey | MEDICAID | 4138601 |
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