Glen Robert Taylor

Psychologist · Peru, IN

Individual Active NPI

NPI number 1407342520

Practice location

275 W 12TH St
Peru, IN 46970-1638
Phone
(765) 472-8000

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NPI record

NPI
1407342520
Entity type
Individual (Type 1)
Enumeration date
July 2, 2018
Last updated
July 2, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Psychologist Primary 103T00000X — —

Mailing address

508 Apache Dr
Peru, IN 46970-2929
Phone
(248) 807-7411

About Glen Taylor

Glen Robert Taylor is a healthcare provider registered in the NPI registry with the primary taxonomy Psychologist (code 103T00000X). The practice location is 275 W 12TH St, Peru, IN 46970-1638. The NPI number 1407342520 was assigned on July 2, 2018 and the record was last updated on July 2, 2018.

Frequently asked questions

What is the NPI number of Glen Robert Taylor?

The NPI number is 1407342520.

What is the phone number of Glen Taylor?

The phone number listed for the practice location is (765) 472-8000.

Where is Glen Taylor located?

275 W 12TH St, Peru, IN 46970-1638.

What is the taxonomy code for Glen Taylor?

The primary taxonomy code is 103T00000X – Psychologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.