Provider Demographics
NPI:1932251030
Name:TAYLOR, REBECCA LINDSAY (MA)
Entity Type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:LINDSAY
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MRS
Other - First Name:REBECCA
Other - Middle Name:TAYLOR
Other - Last Name:LABRODE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA
Mailing Address - Street 1:215 WALNUT ST
Mailing Address - Street 2:APT 11
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02740
Mailing Address - Country:US
Mailing Address - Phone:774-202-3260
Mailing Address - Fax:
Practice Address - Street 1:1563 N MAIN ST
Practice Address - Street 2:SUITE 208
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02720
Practice Address - Country:US
Practice Address - Phone:508-324-1060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health