Most Relevant Information
Provider Data
| NPI Number: | 1003553223 |
| Provider Name: | TAYLERE LOUISE LOONEY |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/18/2022 |
| Last Updated: | 11/29/2023 |
Provider Practice Location
540 N CALIFORNIA ST
STOCKTON
CA
952022117
Practice Location Phone/Fax
| Phone: | 2094644524 |
| Fax: |
Provider Mailing Location
540 N CALIFORNIA ST
STOCKTON
CA
952022117
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |