Provider Demographics
NPI:1902358013
Name:PEARCE, TAYLOR (MED)
Entity Type:Individual
Prefix:
First Name:TAYLOR
Middle Name:
Last Name:PEARCE
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3307 WATKINS RD STE 334
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-3350
Mailing Address - Country:US
Mailing Address - Phone:919-257-7745
Mailing Address - Fax:
Practice Address - Street 1:3307 WATKINS RD STE 334
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-3350
Practice Address - Country:US
Practice Address - Phone:919-257-7745
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-25
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
11935296103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst