Provider Demographics
NPI:1134829609
Name:HIENBUECHER, TAYLOR BROOKE
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:BROOKE
Last Name:HIENBUECHER
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 1:347 HERON CREEK DR
Mailing Address - Street 2:
Mailing Address - City:SYCAMORE
Mailing Address - State:IL
Mailing Address - Zip Code:60178-8765
Mailing Address - Country:US
Mailing Address - Phone:779-777-5067
Mailing Address - Fax:
Practice Address - Street 1:347 HERON CREEK DR
Practice Address - Street 2:
Practice Address - City:SYCAMORE
Practice Address - State:IL
Practice Address - Zip Code:60178-8765
Practice Address - Country:US
Practice Address - Phone:779-777-5067
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-03
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health