Provider Demographics
NPI:1164092375
Name:TAYLOR, OLUWATOSIN TOSIN M
Entity Type:Individual
Prefix:MRS
First Name:OLUWATOSIN TOSIN
Middle Name:M
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16112 MCCONNELL DR # 20772
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20772-3283
Mailing Address - Country:US
Mailing Address - Phone:240-432-0286
Mailing Address - Fax:240-523-9876
Practice Address - Street 1:10104 SENATE DR STE 22220772
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-4392
Practice Address - Country:US
Practice Address - Phone:240-432-0286
Practice Address - Fax:240-523-9876
Is Sole Proprietor?:No
Enumeration Date:2021-06-29
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health