Provider Demographics
NPI:1437542966
Name:TAYLOR, DEBORAH JOY (MA, LLP)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:JOY
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:MA, LLP
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:JOY
Other - Last Name:TAYLOR-BOOKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LLP
Mailing Address - Street 1:238 HOOVER BLVD STE 10
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:MI
Mailing Address - Zip Code:49423-3755
Mailing Address - Country:US
Mailing Address - Phone:616-591-9000
Mailing Address - Fax:616-591-9060
Practice Address - Street 1:238 HOOVER BLVD SUITE 10
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:MI
Practice Address - Zip Code:49423-1918
Practice Address - Country:US
Practice Address - Phone:
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-09
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6361006553103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling