Provider Demographics
NPI:1376550848
Name:TAYLOR, SHIRLEY CAROL (PHD)
Entity Type:Individual
Prefix:DR
First Name:SHIRLEY
Middle Name:CAROL
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9104 W PROGRESS AVE
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-2128
Mailing Address - Country:US
Mailing Address - Phone:303-948-8515
Mailing Address - Fax:303-979-9369
Practice Address - Street 1:9104 W PROGRESS AVE
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-2128
Practice Address - Country:US
Practice Address - Phone:303-948-8515
Practice Address - Fax:303-979-9369
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1035103TC0700X, 103TC2200X, 103TH0100X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service
No103T00000XBehavioral Health & Social Service ProvidersPsychologist