Most Relevant Information
Provider Data
| NPI Number: | 1003034166 |
| Provider Name: | BRENT TAYLOR PH.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | MFC37311 |
Most Important Dates
| Enumeration Date: | 04/23/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
2423 CAMINO DEL RIO S STE 103
SAN DIEGO
CA
921083734
Practice Location Phone/Fax
| Phone: | 6195943871 |
| Fax: |
Provider Mailing Location
29520 HYPERION ST
MURRIETA
CA
925632775
Provider Mailing Phone/Fax
| Phone: | 6195943871 |
| Fax: |