Larry E Taylor
Addiction Psychologist (Substance Use Disorder)
10532 N Port Washington Rd
Mequon
, Wisconsin 53092-5563
Larry E Taylor
Addiction Psychologist (Substance Use Disorder)
10532 N Port Washington Rd
Mequon
, Wisconsin 53092-5563
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About
Features
Specialties
- Addiction Psychologist (Substance Use Disorder)
Languages spoken
- English
Location
First Address
- Larry E Taylor
- Po Box 241141
- Milwaukee, WI
- Zip : 53224-9027
- Phone :
Second Address
- Larry E Taylor
- 10532 N Port Washington Rd
- Mequon, WI
- Zip : 53092-5563
- Fax : (262) 242-3816
- Phone : (262) 242-3810
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | 16901-130 | WI |
National Provider Identifier
| NPI | 1154742880 |
|---|---|
| Provider Name | Larry E Taylor |
| First Address | Milwaukee, WI 53224-9027 |
| Second Address | Mequon, WI 53092-5563 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/12/2013 |
| Last Update Date | 24/12/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.