Mark Shannon Taylor
Addiction Psychologist (Substance Use Disorder)
1960 Thompson Dr
Sedro Woolley
, Washington 98284-5007
Mark Shannon Taylor
Addiction Psychologist (Substance Use Disorder)
1960 Thompson Dr
Sedro Woolley
, Washington 98284-5007
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About
Features
Specialties
- Addiction Psychologist (Substance Use Disorder)
Languages spoken
- English
Location
First Address
- Mark Shannon Taylor
- 7440 W Marginal Way S
- Seattle, WA
- Zip : 98108-4141
- Phone :
Second Address
- Mark Shannon Taylor
- 1960 Thompson Dr
- Sedro Woolley, WA
- Zip : 98284-5007
- Phone : (360) 856-3174
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | CAAR.CG.60943113 | WA |
National Provider Identifier
| NPI | 1548727258 |
|---|---|
| Provider Name | Mark Shannon Taylor |
| First Address | Seattle, WA 98108-4141 |
| Second Address | Sedro Woolley, WA 98284-5007 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/02/2019 |
| Last Update Date | 28/02/2019 |
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.