Provider Demographics
NPI:1104117928
Name:TAYLOR, EDWARD EUGENE (MA SECONARY EDUC)
Entity type:Individual
Prefix:MR
First Name:EDWARD
Middle Name:EUGENE
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:MA SECONARY EDUC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1330 N CLASSEN BLVD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73106-6835
Mailing Address - Country:US
Mailing Address - Phone:405-605-0398
Mailing Address - Fax:405-605-0398
Practice Address - Street 1:1330 N CLASSEN BLVD
Practice Address - Street 2:SUITE 110
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73106-6835
Practice Address - Country:US
Practice Address - Phone:405-605-0398
Practice Address - Fax:405-605-0398
Is Sole Proprietor?:No
Enumeration Date:2011-04-27
Last Update Date:2011-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health