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PENNISSI P. TAYLOR PH.DPC NPI 1114073830


NPI Information

NPI: 1114073830
Provider Name: PENNISSI P. TAYLOR PH.D,PC

Doing Business As: THE TAYLOR CLINIC

Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
205 CENTER AVE.
BROWNWOOD, TX
ZIP 76801
Phone: (325) 649-4357
Get Directions

PENNISSI P. TAYLOR PH.D,PC is a clinical psychologist in Brownwood, TX. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. PENNISSI P. TAYLOR PH.D,PC NPI is 1114073830. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As The Taylor Clinic.

The provider's business location address is:

205 CENTER AVE.
BROWNWOOD, TX
ZIP 76801-919
Phone: (325) 649-4357
Fax: (325) 646-0919

The provider's authorized official is Pennissi Patrick Taylor .
The authorized official title is Owner and has the following contact phone number (325) 649-4357.

The enumeration date for this NPI number is 1/26/2007 and was last updated on 1/14/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC0700XPsychologistClinical15762TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1S42212MEDICARE UPINTEXAS
20007QCOTHERTEXASBCBS
300666UMEDICARE ID-TYPE UNSPECIFIEDTEXAS
4203875OTHERTEXASVALUE OPTIONS INSURANCE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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