Provider Demographics
NPI:1992550776
Name:TAYLOR, KATHERINE MARIA (LGPC)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:MARIA
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:LGPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3701 CONNECTICUT AVE NW APT 621
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20008-4507
Mailing Address - Country:US
Mailing Address - Phone:202-696-9301
Mailing Address - Fax:
Practice Address - Street 1:3701 CONNECTICUT AVE NW APT 621
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20008-4507
Practice Address - Country:US
Practice Address - Phone:202-696-9301
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-23
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLGPC200001660101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional