Taylor, Gavin Henderson

Taylor, Gavin Henderson is an sole proprietor health care provider with primary practice located at 20 Century Hill Dr Suite 202, Latham NY 12110-2116. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Taylor, Gavin Henderson can be contacted via phone (518) 785-7283.

Contact Information

Primary practice address
20 Century Hill Dr Suite 202 Latham NY 12110-2116
Phone: (518) 785-7283
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 019877-1 New York

Profile Details

NPI number 1689918872
LBN Legal business name Taylor, Gavin Henderson
Credentials D.CLIN.PSY.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 12th, 2012
Last updated Nov 19th, 2012 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689918872 NPPES
New York Other 1215152962 PRACTICE NPI

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