Provider Demographics
NPI:1841457942
Name:TAYLOR, GABRIELLE MARIE (MD)
Entity type:Individual
Prefix:
First Name:GABRIELLE
Middle Name:MARIE
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:750 LAS GALLINAS AVE STE 117
Mailing Address - Street 2:
Mailing Address - City:SAN RAFAEL
Mailing Address - State:CA
Mailing Address - Zip Code:94903-3431
Mailing Address - Country:US
Mailing Address - Phone:415-903-1373
Mailing Address - Fax:415-991-3977
Practice Address - Street 1:750 LAS GALLINAS AVE STE 117
Practice Address - Street 2:
Practice Address - City:SAN RAFAEL
Practice Address - State:CA
Practice Address - Zip Code:94903-3431
Practice Address - Country:US
Practice Address - Phone:415-903-1373
Practice Address - Fax:415-991-3977
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-18
Last Update Date:2024-09-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA650632084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry