Taylor, Courtney

Taylor, Courtney is an individual health care provider with primary practice located at 130 Powerville Rd , Boonton NJ 07005-8705. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Taylor, Courtney can be contacted via phone (973) 316-1903.

Contact Information

Primary practice address
130 Powerville Rd Boonton NJ 07005-8705
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 44SL05916400 New Jersey

Profile Details

NPI number 1073930582
LBN Legal business name Taylor, Courtney
Credentials LSW
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2014
Last updated Mar 21st, 2014 - about 10 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 1073930582 NPPES
New Jersey MEDICAID 4138601

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