Provider Demographics
NPI:1871808279
Name:TAYLOR, DEBORAH (MSW)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2015 S FILLMORE ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-3516
Mailing Address - Country:US
Mailing Address - Phone:720-338-8279
Mailing Address - Fax:303-300-2212
Practice Address - Street 1:2015 S FILLMORE ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-3516
Practice Address - Country:US
Practice Address - Phone:720-338-8279
Practice Address - Fax:303-300-2212
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-10
Last Update Date:2010-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO991060171000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171000000XOther Service ProvidersMilitary Health Care Provider