Provider Demographics
NPI:1376752352
Name:TAYLOR, VALERIE (CBHCM-CAF)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:CBHCM-CAF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:217 BENNETT BLVD
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:OK
Mailing Address - Zip Code:74834-2419
Mailing Address - Country:US
Mailing Address - Phone:405-258-1546
Mailing Address - Fax:
Practice Address - Street 1:112 E 7TH ST
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:OK
Practice Address - Zip Code:74834-2820
Practice Address - Country:US
Practice Address - Phone:405-258-2178
Practice Address - Fax:405-258-2478
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator