Provider Demographics
NPI:1316068349
Name:TAYLOR, CLOYD VERON II (PHD)
Entity type:Individual
Prefix:DR
First Name:CLOYD
Middle Name:VERON
Last Name:TAYLOR
Suffix:II
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18913 HUNTINGTOWER CASTLE BLVD
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-7465
Mailing Address - Country:US
Mailing Address - Phone:512-246-8055
Mailing Address - Fax:512-367-5779
Practice Address - Street 1:400 W MAIN ST
Practice Address - Street 2:SUITE 217
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-5808
Practice Address - Country:US
Practice Address - Phone:512-246-8055
Practice Address - Fax:512-367-5779
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2015-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32450103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical