Provider Demographics
NPI:1639790496
Name:MARKEWICH, TAYLERE M (LP AND LMFT)
Entity Type:Individual
Prefix:DR
First Name:TAYLERE
Middle Name:M
Last Name:MARKEWICH
Suffix:
Gender:F
Credentials:LP AND LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 DASHVILLE RD
Mailing Address - Street 2:
Mailing Address - City:NEW PALTZ
Mailing Address - State:NY
Mailing Address - Zip Code:12561-4510
Mailing Address - Country:US
Mailing Address - Phone:845-658-2451
Mailing Address - Fax:
Practice Address - Street 1:107 DASHVILLE RD
Practice Address - Street 2:
Practice Address - City:NEW PALTZ
Practice Address - State:NY
Practice Address - Zip Code:12561-4510
Practice Address - Country:US
Practice Address - Phone:845-658-2451
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-04
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022529-01103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist