Provider Demographics
NPI:1447837331
Name:TAYLOR, ENGLANN
Entity type:Individual
Prefix:
First Name:ENGLANN
Middle Name:
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5905 TATTERSALL DR APT 14
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-9064
Mailing Address - Country:US
Mailing Address - Phone:704-713-1306
Mailing Address - Fax:
Practice Address - Street 1:25 CARLETON STREET
Practice Address - Street 2:MIT MEDICAL BUILDING E23
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02142
Practice Address - Country:US
Practice Address - Phone:704-713-1306
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-26
Last Update Date:2021-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling