Provider Demographics
NPI:1023402773
Name:TAYLOR, MILTON (PHD, MA)
Entity Type:Individual
Prefix:DR
First Name:MILTON
Middle Name:
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:PHD, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2510 E SUNSET RD
Mailing Address - Street 2:SUITE 5-159
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89120-3522
Mailing Address - Country:US
Mailing Address - Phone:702-335-8454
Mailing Address - Fax:
Practice Address - Street 1:2510 E SUNSET RD
Practice Address - Street 2:SUITE 5-159
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89120-3522
Practice Address - Country:US
Practice Address - Phone:702-335-8454
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-20
Last Update Date:2015-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst