1669747705 NPI number — MRS. CATHERINE NOELLE TAYLOR BA CADC

Table of content: MRS. CATHERINE NOELLE TAYLOR BA CADC (NPI 1669747705)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1669747705 NPI number — MRS. CATHERINE NOELLE TAYLOR BA CADC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TAYLOR
Provider First Name:
CATHERINE
Provider Middle Name:
NOELLE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
BA CADC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
TAYLOR
Provider Other First Name:
CATHERINE
Provider Other Middle Name:
NOELL
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
BA CADC
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1669747705
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/22/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
129 JOHNSON RD
Provider Second Line Business Mailing Address:
SUITE 7
Provider Business Mailing Address City Name:
TURNERSVILLE
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08012-1777
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
856-863-3913
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
129 JOHNSON RD STE 7
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TURNERSVILLE
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08012-1777
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
856-863-3913
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/21/2012

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: 101YA0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 171M00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2025 www.npivalidator.com