Provider Demographics
NPI:1477583003
Name:TAYLOR, STEVE M (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVE
Middle Name:M
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 E 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-4264
Mailing Address - Country:US
Mailing Address - Phone:985-635-6943
Mailing Address - Fax:985-635-6948
Practice Address - Street 1:420 E 1ST AVE
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-4264
Practice Address - Country:US
Practice Address - Phone:985-635-6943
Practice Address - Fax:985-635-6948
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-03
Last Update Date:2007-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA138492084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1334341Medicaid
55218Medicare ID - Type Unspecified
LA1334341Medicaid