| 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. |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 06/07/2021 |
| Last Update Date | 09/11/2021 |
| Certification Date | 09/11/2021 |
| Medicare PECOS PAC ID | 5597155697 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609313501 PECOS PAC ID: 1456681048 Enrollment ID: I20190924003823 |
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