Provider Demographics
NPI:1134981665
Name:FLANDERS, TAYLOR NELSINA
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:NELSINA
Last Name:FLANDERS
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 1:332 FELL ST APT 3
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102-5167
Mailing Address - Country:US
Mailing Address - Phone:435-260-8536
Mailing Address - Fax:
Practice Address - Street 1:332 FELL ST APT 3
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-5167
Practice Address - Country:US
Practice Address - Phone:435-260-8536
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-30
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker