Provider Demographics
NPI:1982397444
Name:DEYSHER, TAYLOR (MS, R-DMT)
Entity Type:Individual
Prefix:
First Name:TAYLOR
Middle Name:
Last Name:DEYSHER
Suffix:
Gender:F
Credentials:MS, R-DMT
Other - Prefix:
Other - First Name:TAYLOR
Other - Middle Name:
Other - Last Name:EINSIG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:675 E STREET RD APT 1710
Mailing Address - Street 2:
Mailing Address - City:WARMINSTER
Mailing Address - State:PA
Mailing Address - Zip Code:18974-3517
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:504 LAKESIDE PARK
Practice Address - Street 2:
Practice Address - City:SOUTHAMPTON
Practice Address - State:PA
Practice Address - Zip Code:18966-4078
Practice Address - Country:US
Practice Address - Phone:484-256-6096
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-31
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health