Provider Demographics
| NPI: | 1245862770 |
|---|---|
| Name: | NORA TAYLOR, PSY.D., A PROFESSIONAL PSYCHOLOGY CORPORATION |
| Entity type: | Organization |
| Organization Name: | NORA TAYLOR, PSY.D., A PROFESSIONAL PSYCHOLOGY CORPORATION |
| Other - Org Name: | <UNAVAIL> |
| Other - Org Type: | |
| Authorized Official - Title/Position: | CLINICAL PSYCHOLOGIST |
| Authorized Official - Prefix: | DR |
| Authorized Official - First Name: | NORA |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | TAYLOR |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | PSYD |
| Authorized Official - Phone: | 424-262-3512 |
| Mailing Address - Street 1: | 1820 S CATALINA AVE STE 105 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | REDONDO BEACH |
| Mailing Address - State: | CA |
| Mailing Address - Zip Code: | 90277-5511 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 424-262-3512 |
| Mailing Address - Fax: | 424-267-0150 |
| Practice Address - Street 1: | 1820 S CATALINA AVE STE 105 |
| Practice Address - Street 2: | |
| Practice Address - City: | REDONDO BEACH |
| Practice Address - State: | CA |
| Practice Address - Zip Code: | 90277-5511 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 424-262-3512 |
| Practice Address - Fax: | 424-267-0150 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2020-02-12 |
| Last Update Date: | 2022-09-17 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 103TC0700X | Behavioral Health & Social Service Providers | Psychologist | Clinical | Group - Multi-Specialty |
| No | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) | Group - Multi-Specialty |
| No | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | Mental Health | Group - Multi-Specialty |
| No | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | Professional | Group - Multi-Specialty |
| No | 102L00000X | Behavioral Health & Social Service Providers | Psychoanalyst | Group - Multi-Specialty | |
| No | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | Group - Multi-Specialty | |
| No | 103TA0400X | Behavioral Health & Social Service Providers | Psychologist | Addiction (Substance Use Disorder) | Group - Multi-Specialty |
| No | 103TA0700X | Behavioral Health & Social Service Providers | Psychologist | Adult Development & Aging | Group - Multi-Specialty |
| No | 103TB0200X | Behavioral Health & Social Service Providers | Psychologist | Cognitive & Behavioral | Group - Multi-Specialty |
| No | 103TC1900X | Behavioral Health & Social Service Providers | Psychologist | Counseling | Group - Multi-Specialty |
| No | 103TC2200X | Behavioral Health & Social Service Providers | Psychologist | Clinical Child & Adolescent | Group - Multi-Specialty |
| No | 103TF0000X | Behavioral Health & Social Service Providers | Psychologist | Family | Group - Multi-Specialty |
| No | 103TP0814X | Behavioral Health & Social Service Providers | Psychologist | Psychoanalysis | Group - Multi-Specialty |
