1184808214 NPI number — MRS. BARBARA B TAYLOR MS CCC

Table of content: MRS. BARBARA B TAYLOR MS CCC (NPI 1184808214)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1184808214 NPI number — MRS. BARBARA B TAYLOR MS CCC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TAYLOR
Provider First Name:
BARBARA
Provider Middle Name:
B
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MS CCC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1184808214
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/26/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1248 DOWNWOOD MANOR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MORGANTOWN
Provider Business Mailing Address State Name:
WV
Provider Business Mailing Address Postal Code:
26508
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
304-594-3097
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
13 SOUTH HIGH STREET
Provider Second Line Business Practice Location Address:
BOARD OF EDUCATION MONONGALIA COUNTY
Provider Business Practice Location Address City Name:
MORGANTOWN
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
26508
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-594-2772
Provider Business Practice Location Address Fax Number:
304-291-3015
Provider Enumeration Date:
12/26/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 235Z00000X , with the licence number:  00368548 , registered in the state of WV ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0152672000 , issued by the state of ( WV ) . This identifiers is of the category "MEDICAID".




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