Taylor, Gavin Henderson
Taylor, Gavin Henderson is an sole proprietor health care provider with primary practice located at 20 Century Hill Dr Suite 202, Latham NY 12110-2116. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Taylor, Gavin Henderson can be contacted via phone (518) 785-7283.Contact Information
Primary practice address
20 Century Hill Dr Suite 202
Latham NY 12110-2116
Phone: (518) 785-7283
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 019877-1 | New York |
Profile Details
| NPI number | 1689918872 |
|---|---|
| LBN Legal business name | Taylor, Gavin Henderson |
| Credentials | D.CLIN.PSY. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 12th, 2012 |
| Last updated | Nov 19th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689918872 | NPPES |
| New York | Other | 1215152962 | PRACTICE NPI |
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