Provider Demographics
NPI:1033641899
Name:TAYLOR, ELIZABETH MARY (B/A)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:MARY
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:B/A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5500 MCKINNEY PLACE DR
Mailing Address - Street 2:APT 528
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-2294
Mailing Address - Country:US
Mailing Address - Phone:469-338-2922
Mailing Address - Fax:
Practice Address - Street 1:5500 MCKINNEY PLACE DR
Practice Address - Street 2:APT 528
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-2294
Practice Address - Country:US
Practice Address - Phone:469-338-2922
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-31
Last Update Date:2017-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health