Provider Demographics
NPI:1013167295
Name:TAYLOR, SUZANNE RACHELLE
Entity Type:Individual
Prefix:MISS
First Name:SUZANNE
Middle Name:RACHELLE
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 S JONES AVE
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-6022
Mailing Address - Country:US
Mailing Address - Phone:405-246-5219
Mailing Address - Fax:
Practice Address - Street 1:203 S JONES AVE
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-6022
Practice Address - Country:US
Practice Address - Phone:405-366-5744
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-24
Last Update Date:2009-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor