Provider Demographics
NPI:1023236585
Name:TAYLOR CONSULTING PSYCHOLOGICAL & INVESTIGATIVE SERVICES INC
Entity type:Organization
Organization Name:TAYLOR CONSULTING PSYCHOLOGICAL & INVESTIGATIVE SERVICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:714-969-5100
Mailing Address - Street 1:419 MAIN ST
Mailing Address - Street 2:#358
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92648-5199
Mailing Address - Country:US
Mailing Address - Phone:714-969-5100
Mailing Address - Fax:
Practice Address - Street 1:419 MAIN ST
Practice Address - Street 2:#358
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92648-5199
Practice Address - Country:US
Practice Address - Phone:714-969-5100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY21358103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty