Taylor, Tina

Taylor, Tina is an individual health care provider with primary practice located at 184 Seminole Dr , Evanston WY 82930-6600. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Taylor, Tina can be contacted via phone (307) 679-1822.

Contact Information

Primary practice address
184 Seminole Dr Evanston WY 82930-6600
Phone: (307) 679-1822
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW-423 Wyoming

Profile Details

NPI number 1114117009
LBN Legal business name Taylor, Tina
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2007
Last updated Aug 27th, 2015 - about 11 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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