Provider Demographics
NPI:1558139279
Name:MYERS-SALTZGAVER, TAYLOR-KRISTEN (PSYD, PHD)
Entity type:Individual
Prefix:MRS
First Name:TAYLOR-KRISTEN
Middle Name:
Last Name:MYERS-SALTZGAVER
Suffix:
Gender:F
Credentials:PSYD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6806 N 47TH ST
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33610-1808
Mailing Address - Country:US
Mailing Address - Phone:813-947-9975
Mailing Address - Fax:
Practice Address - Street 1:8819 RIVER CROSSING BLVD
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34655-5132
Practice Address - Country:US
Practice Address - Phone:813-820-0677
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-12
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY12569103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist