Provider Demographics
NPI:1184308363
Name:TAUGHER, TARYN MICHAL (PSYS)
Entity type:Individual
Prefix:
First Name:TARYN
Middle Name:MICHAL
Last Name:TAUGHER
Suffix:
Gender:F
Credentials:PSYS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4222 MEADOWBROOK DR
Mailing Address - Street 2:
Mailing Address - City:FREELAND
Mailing Address - State:MI
Mailing Address - Zip Code:48623-8840
Mailing Address - Country:US
Mailing Address - Phone:989-293-9623
Mailing Address - Fax:
Practice Address - Street 1:965 E GENESEE ST
Practice Address - Street 2:
Practice Address - City:FRANKENMUTH
Practice Address - State:MI
Practice Address - Zip Code:48734-1229
Practice Address - Country:US
Practice Address - Phone:989-652-6119
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-09
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MISP0000001118732103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool