Provider Demographics
NPI:1801899174
Name:TAYLOR, PATRICIA G (PHD, LCSW)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:G
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:PHD, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3218 E CEDAR HOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-8125
Mailing Address - Country:US
Mailing Address - Phone:713-436-6555
Mailing Address - Fax:
Practice Address - Street 1:3355 W ALABAMA ST
Practice Address - Street 2:STE 1020
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77098-1796
Practice Address - Country:US
Practice Address - Phone:713-961-0016
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX063861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical