Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP1600X | Pastoral Counselor |
NPI | 1306114038 |
---|---|
Provider Name | Ms. Rachel Ann Taylor |
First Address | Bethlehem, PA 18017-2619 |
Second Address | Bethlehem, PA 18017 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/12/2011 |
Last Update Date | 08/12/2011 |