Provider Demographics
NPI:1730410754
Name:TAYLOR, MARGARET (LSW)
Entity type:Individual
Prefix:MISS
First Name:MARGARET
Middle Name:
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:560 KELLERVILLE RD
Mailing Address - Street 2:
Mailing Address - City:MC ALISTERVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17049-8580
Mailing Address - Country:US
Mailing Address - Phone:717-320-3843
Mailing Address - Fax:
Practice Address - Street 1:560 KELLERVILLE RD
Practice Address - Street 2:
Practice Address - City:MC ALISTERVILLE
Practice Address - State:PA
Practice Address - Zip Code:17049-8580
Practice Address - Country:US
Practice Address - Phone:717-320-3843
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-15
Last Update Date:2010-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW1275351041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical