Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 499 | SC |
Y | 103T00000X | Psychologist | 499 | SC |
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | 499 | SC |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 499 | SC |
N | 103TC1900X | Counseling Psychologist | 499 | SC |
N | 103TF0000X | Family Psychologist | 499 | SC |
NPI | 1174973572 |
---|---|
Provider Name | Charotte Murrow Taylor |
First Address | Walterboro, SC 29488-3923 |
Second Address | Walterboro, SC 29488-3923 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2016 |
Last Update Date | 16/06/2016 |