Provider Demographics
NPI:1467347229
Name:NASH, TAYLOR (PSYD)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:
Last Name:NASH
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 4TH ST E STE 300
Mailing Address - Street 2:
Mailing Address - City:NORTHFIELD
Mailing Address - State:MN
Mailing Address - Zip Code:55057-2047
Mailing Address - Country:US
Mailing Address - Phone:651-505-3273
Mailing Address - Fax:
Practice Address - Street 1:105 4TH ST E STE 300
Practice Address - Street 2:
Practice Address - City:NORTHFIELD
Practice Address - State:MN
Practice Address - Zip Code:55057-2047
Practice Address - Country:US
Practice Address - Phone:651-505-3273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-11
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810008897103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical