Provider Demographics
NPI:1942499801
Name:TAYLOR, JAMES EDWARD (PHD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:EDWARD
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:244 HIGH WATCH RD
Mailing Address - Street 2:
Mailing Address - City:EFFINGHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03882-8336
Mailing Address - Country:US
Mailing Address - Phone:800-473-4221
Mailing Address - Fax:800-473-6666
Practice Address - Street 1:244 HIGH WATCH RD
Practice Address - Street 2:
Practice Address - City:EFFINGHAM
Practice Address - State:NH
Practice Address - Zip Code:03882-8336
Practice Address - Country:US
Practice Address - Phone:800-473-4221
Practice Address - Fax:800-473-6666
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-17
Last Update Date:2013-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist