Provider Demographics
NPI:1598380693
Name:NEIGHBOUR, TAYLAR ANNE (LMSW)
Entity Type:Individual
Prefix:
First Name:TAYLAR
Middle Name:ANNE
Last Name:NEIGHBOUR
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6200 AURORA AVE STE 103E
Mailing Address - Street 2:
Mailing Address - City:URBANDALE
Mailing Address - State:IA
Mailing Address - Zip Code:50322-6338
Mailing Address - Country:US
Mailing Address - Phone:515-401-6886
Mailing Address - Fax:515-401-5237
Practice Address - Street 1:6200 AURORA AVE STE 103E
Practice Address - Street 2:
Practice Address - City:URBANDALE
Practice Address - State:IA
Practice Address - Zip Code:50322-6338
Practice Address - Country:US
Practice Address - Phone:515-401-6886
Practice Address - Fax:515-401-5237
Is Sole Proprietor?:No
Enumeration Date:2020-06-15
Last Update Date:2020-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA099866104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker