Andromidas, Taylor L

Andromidas, Taylor L is an individual health care provider with primary practice located at 10 Overlook Ridge Dr Unit 537 , Malden MA 02148-4768. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Andromidas, Taylor L can be contacted via phone (757) 560-7773.

Contact Information

Primary practice address
10 Overlook Ridge Dr Unit 537 Malden MA 02148-4768
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 10396 Massachusetts

Profile Details

NPI number 1093183501
LBN Legal business name Andromidas, Taylor L
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2015
Last updated Apr 2nd, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093183501 NPPES
Massachusetts Other W0785) BLUE CROSS BLUE SHIELD

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