Provider Demographics
NPI:1992523922
Name:TAYLOR, MADELINE SHARI (PHD LMFT 18903)
Entity type:Individual
Prefix:DR
First Name:MADELINE
Middle Name:SHARI
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:PHD LMFT 18903
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22031 YBARRA RD
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-4115
Mailing Address - Country:US
Mailing Address - Phone:818-264-6598
Mailing Address - Fax:
Practice Address - Street 1:22031 YBARRA RD
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-4115
Practice Address - Country:US
Practice Address - Phone:818-264-6598
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-30
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT18093106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist