Provider Demographics
NPI:1639381098
Name:TAYLOR, STEVEN H (PHD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:H
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1604 HEWITT AVE
Mailing Address - Street 2:SUITE 510
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98201-3595
Mailing Address - Country:US
Mailing Address - Phone:425-252-9744
Mailing Address - Fax:206-783-5340
Practice Address - Street 1:1604 HEWITT AVE
Practice Address - Street 2:SUITE 510
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201-3595
Practice Address - Country:US
Practice Address - Phone:425-252-9744
Practice Address - Fax:206-783-5340
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-05
Last Update Date:2016-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY00000761103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical