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Contact Information

LARRY E TAYLOR
10532 N PORT WASHINGTON RD
MEQUON, WI53092-5563
 Phone: 262-242-3810
 Fax: 262-242-3816
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LARRY E TAYLOR · (Male)

NPI Number 1154742880
Status Active
Credentials
Entity Individual
Enumeration date 12/24/2013
Last updated 12/24/2013 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • WI License # 16901-130
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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