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Contact Information

MARY LOU TAYLOR, PHD
FROEDTERT & MED COLLEGE CLIN - EAST
9200 WEST WISCONSIN AVENUE
MILWAUKEE, WI53226
 Phone: 414-805-3666
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MARY LOU TAYLOR · (Female)

NPI Number 1235180985
Status Active
Credentials PHD
Entity Individual
Enumeration date 05/15/2006
Last updated 11/12/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 1307
  • WI Medicaid 39074000
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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