| Maxwell Taylor | |
|
401 Hall St Sw Ste 112b Grand Rapids MI 49503-4988 | |
| (734) 383-0932 | |
| Not Available |
| Full Name | Maxwell Taylor |
|---|---|
| Speciality | Psychologist |
| Location | 401 Hall St Sw Ste 112b, Grand Rapids, Michigan |
| Authorized Official Name and Position | Maxwell Taylor (PROVIDER) |
| Authorized Official Contact | 7343830932 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maxwell Taylor 4310 Leonard St Nw Ste 103 Walker MI 49534-8447 Ph: (616) 453-6329 | Maxwell Taylor 401 Hall St Sw Ste 112b Grand Rapids MI 49503-4988 Ph: (734) 383-0932 |
| NPI Number | 1205490240 |
|---|---|
| Provider Enumeration Date | 04/25/2019 |
| Last Update Date | 04/25/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205490240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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