Thomas Taylor, LCSWR, PHD

NPI 1710014535 · on the registry since 2007 · sole proprietor

Practice

Address: 2504 Broadway
C/O Advent Lutheran Church
New York, NY 10025
Phone: (917) 886-6399
Fax: (212) 924-6135
Organisation at this address: Prestige Adult Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: NY
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2011-10-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York