Provider Demographics
NPI:1982473369
Name:HOSFORD, TAIT TAYLAR
Entity Type:Individual
Prefix:
First Name:TAIT
Middle Name:TAYLAR
Last Name:HOSFORD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7215 WESTSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48917-9764
Mailing Address - Country:US
Mailing Address - Phone:248-221-2399
Mailing Address - Fax:248-712-4381
Practice Address - Street 1:7215 WESTSHIRE DR
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48917-9764
Practice Address - Country:US
Practice Address - Phone:248-221-2399
Practice Address - Fax:248-712-4381
Is Sole Proprietor?:No
Enumeration Date:2023-12-27
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician