Provider Demographics
NPI:1326003807
Name:TAYLOR, JAMES W (PHD)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:W
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2400 HAYDEN DR
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902-5402
Mailing Address - Country:US
Mailing Address - Phone:301-593-0832
Mailing Address - Fax:301-593-7772
Practice Address - Street 1:2400 HAYDEN DR
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20902-5402
Practice Address - Country:US
Practice Address - Phone:301-593-0832
Practice Address - Fax:301-593-7772
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2009-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01476103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist