Taylor, Simone

Taylor, Simone is an individual health care provider with primary practice located at 3075 Adeline St Suite 120, Berkeley CA 94703-2576. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Taylor, Simone can be contacted via phone (510) 848-1112.

Contact Information

Primary practice address
3075 Adeline St Suite 120 Berkeley CA 94703-2576
Phone: (510) 848-1112
Fax: (510) 848-4445
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Family 103TF0000X RPS2005234 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X 23552 California

Profile Details

NPI number 1093905556
LBN Legal business name Taylor, Simone
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2007
Last updated Apr 19th, 2024 - about last year

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 1093905556 NPPES
California Other 01CR MEDI-CAL

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