Provider Demographics
NPI:1811694672
Name:TAYLOR, JULIETTE CHENG (PHARMD, MBA, BCPP)
Entity type:Individual
Prefix:DR
First Name:JULIETTE
Middle Name:CHENG
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:PHARMD, MBA, BCPP
Other - Prefix:DR
Other - First Name:JULIETTE
Other - Middle Name:TAYLOR
Other - Last Name:TOURE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD, MBA, BCPP
Mailing Address - Street 1:4849 CHEVY CHASE DR
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-6427
Mailing Address - Country:US
Mailing Address - Phone:301-848-1840
Mailing Address - Fax:
Practice Address - Street 1:10903 NEW HAMPSHIRE AVE
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20993-0002
Practice Address - Country:US
Practice Address - Phone:240-460-9447
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-13
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD41503281835P1300X
MD16858183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P1300XPharmacy Service ProvidersPharmacistPsychiatric