Provider Demographics
NPI:1164624417
Name:DRUMMER TAYLOR, DENISE YVETTE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:DENISE
Middle Name:YVETTE
Last Name:DRUMMER TAYLOR
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3801 CROW CANYON RD
Mailing Address - Street 2:
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94582-1480
Mailing Address - Country:US
Mailing Address - Phone:707-297-1234
Mailing Address - Fax:
Practice Address - Street 1:3801 CROW CANYON RD
Practice Address - Street 2:
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94582-5316
Practice Address - Country:US
Practice Address - Phone:707-297-1234
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2009-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA103TA0400X101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)