Provider Demographics
NPI:1962571190
Name:TAYLOR, DAVID HENRY (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:HENRY
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:21 TAMAL VISTA BLVD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:CORTE MADERA
Mailing Address - State:CA
Mailing Address - Zip Code:94925-1130
Mailing Address - Country:US
Mailing Address - Phone:415-924-8820
Mailing Address - Fax:415-924-8965
Practice Address - Street 1:21 TAMAL VISTA BLVD
Practice Address - Street 2:SUITE 120
Practice Address - City:CORTE MADERA
Practice Address - State:CA
Practice Address - Zip Code:94925-1130
Practice Address - Country:US
Practice Address - Phone:415-924-8820
Practice Address - Fax:415-924-8965
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CAG0835602084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry