Provider Demographics
NPI:1376644211
Name:TAYLOR, CHRISTINA J (PHD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:J
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 OLD DAM RD
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06824-6384
Mailing Address - Country:US
Mailing Address - Phone:203-255-4628
Mailing Address - Fax:203-372-4596
Practice Address - Street 1:2335 BLACK ROCK TPKE
Practice Address - Street 2:HALL 2
Practice Address - City:FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06825-3220
Practice Address - Country:US
Practice Address - Phone:203-372-4593
Practice Address - Fax:203-372-7596
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001641103TC0700X
NY010267103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical