Maxwell Psychological Services, L.l.c. | |
5440 W 110th St Ste 300 Overland Park KS 66211-1221 | |
(816) 839-5960 | |
Not Available |
Full Name | Maxwell Psychological Services, L.l.c. |
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Speciality | Psychologist |
Location | 5440 W 110th St Ste 300, Overland Park, Kansas |
Authorized Official Name and Position | Reed Maxwell (FOUNDER) |
Authorized Official Contact | 9133877987 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Maxwell Psychological Services, L.l.c. 5440 W 110th St Ste 300 Overland Park KS 66211-1221 Ph: (816) 839-5960 | Maxwell Psychological Services, L.l.c. 5440 W 110th St Ste 300 Overland Park KS 66211-1221 Ph: (816) 839-5960 |
NPI Number | 1417524687 |
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Provider Enumeration Date | 06/07/2021 |
Last Update Date | 09/11/2021 |
Certification Date | 09/11/2021 |
Medicare PECOS PAC ID | 5597155697 |
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Medicare Enrollment ID | O20220111000891 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417524687 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Secondary |
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
Provider Name | Reed I Maxwell |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1609313501 PECOS PAC ID: 1456681048 Enrollment ID: I20190924003823 |
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