Provider Demographics
NPI:1275767204
Name:TAYLOR, KATE (MA, MT-BC)
Entity Type:Individual
Prefix:MRS
First Name:KATE
Middle Name:
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:MA, MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:316 BAYBERRY DR
Mailing Address - Street 2:
Mailing Address - City:ALGONQUIN
Mailing Address - State:IL
Mailing Address - Zip Code:60102-1967
Mailing Address - Country:US
Mailing Address - Phone:216-704-6595
Mailing Address - Fax:
Practice Address - Street 1:316 BAYBERRY DR
Practice Address - Street 2:
Practice Address - City:ALGONQUIN
Practice Address - State:IL
Practice Address - Zip Code:60102-1967
Practice Address - Country:US
Practice Address - Phone:216-704-6595
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-05
Last Update Date:2013-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD05854225A00000X
IL374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist
No374J00000XNursing Service Related ProvidersDoula
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD05854OtherCERTIFICATION BOARD FOR MUSIC THERAPISTS