Provider Demographics
NPI:1942943832
Name:EATON TAYLOR, EMMA FAITH (MA)
Entity Type:Individual
Prefix:
First Name:EMMA
Middle Name:FAITH
Last Name:EATON TAYLOR
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11033 NE 128TH ST APT D202
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-4771
Mailing Address - Country:US
Mailing Address - Phone:425-503-3297
Mailing Address - Fax:
Practice Address - Street 1:11033 NE 128TH ST APT D202
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-4771
Practice Address - Country:US
Practice Address - Phone:425-503-3297
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-18
Last Update Date:2022-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist