Taylor-Speller, Doreen Marion

Taylor-Speller, Doreen Marion is an individual health care provider with primary practice located at 687 Frelinghuysen Ave 1St Floor, Newark NJ 07114-1349. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Taylor-Speller, Doreen Marion can be contacted via phone (973) 799-0508.

Contact Information

Primary practice address
687 Frelinghuysen Ave 1St Floor Newark NJ 07114-1349
Phone: (973) 799-0508
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 37LC00197700 New Jersey
Behavioral Health & Social Service Providers / Social Worker 104100000X 44SW04759900 New Jersey

Profile Details

NPI number 1043532542
LBN Legal business name Taylor-Speller, Doreen Marion
Credentials MS, LCADC, CSW
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2010
Last updated May 28th, 2013 - about 11 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 1043532542 NPPES
New Jersey Other 37LC00197700 STATE OF NJ OFFICE OF ATTORNEY GENERAL DIVISION OF CONSUMER AFFAIRS LCADC

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