NPI 1003499336
Taylor Bacon
Practice location
- Address
- 440 Science Dr STE 300, Madison, WI 53711-1064
- Phone
- (608) 236-4460
- Mailing address
- 8440 Market St APT 223, Middleton, WI 53562-4778
Registered specialties
Mental Health Counselor
Primary
Registry record
- NPI
- 1003499336
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 4 May 2021
- Record last updated
- 4 May 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.