Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YP1600X | Pastoral Counselor | 003630 | CT |
N | 101YP2500X | Professional Counselor | 003630 | CT |
Y | 1041C0700X | Clinical Social Worker | 003630 | CT |
NPI | 1316356553 |
---|---|
Provider Name | Robin C Taylor |
First Address | East Hartford, CT 06108-2559 |
Second Address | East Hartford, CT 06108-2559 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/08/2014 |
Last Update Date | 23/05/2015 |