Smith, David Taylor

Smith, David Taylor is an individual health care provider with primary practice located at 7215 Glenwood Ave , Golden Valley MN 55427-4806. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Smith, David Taylor can be contacted via phone (763) 228-7108.

Contact Information

Primary practice address
7215 Glenwood Ave Golden Valley MN 55427-4806
Phone: (763) 228-7108
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 08854 Minnesota

Profile Details

NPI number 1730377698
LBN Legal business name Smith, David Taylor
Credentials PH.D., LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2007
Last updated Jan 9th, 2009 - about 16 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 1730377698 NPPES
Minnesota Other 08854 LICSW

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