Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 5629 | OH |
Y | 103T00000X | Psychologist | 5629 | OH |
NPI | 1013025311 |
---|---|
Provider Name | Dr. Robert L Taylor III |
First Address | Chillicothe, OH 45601-8608 |
Second Address | Chillicothe, OH 45601-8608 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/08/2006 |
Last Update Date | 08/07/2007 |