Taylor, Nicholas Dale
Taylor, Nicholas Dale is an individual health care provider with primary practice located at 8701 Shoal Creek Blvd Ste 404 , Austin TX 78757-6809. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is his primary health care specialty. Taylor, Nicholas Dale can be contacted via phone (513) 813-0640.Contact Information
Primary practice address
8701 Shoal Creek Blvd Ste 404
Austin TX 78757-6809
Phone: (513) 813-0640
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 38203 | Texas |
Profile Details
| NPI number | 1447669874 |
|---|---|
| LBN Legal business name | Taylor, Nicholas Dale |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2014 |
| Last updated | Oct 22nd, 2022 - about 4 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 | 1447669874 | NPPES |
| Texas | Other | 38203 | STATE PSYCHOLOGY PRACTICE LICENSE |
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