Maxwell Taylor Phd Pc | |
3405 Westwood Pkwy Flint MI 48503-4686 | |
(810) 232-8466 | |
(810) 232-7413 |
Full Name | Maxwell Taylor Phd Pc |
---|---|
Speciality | Psychologist |
Location | 3405 Westwood Pkwy, Flint, Michigan |
Authorized Official Name and Position | Maxwell F Taylor (CEO) |
Authorized Official Contact | 8102328466 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Maxwell Taylor Phd Pc Po Box 10 Mason MI 48854-0010 Ph: () - | Maxwell Taylor Phd Pc 3405 Westwood Pkwy Flint MI 48503-4686 Ph: (810) 232-8466 |
NPI Number | 1164792941 |
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Provider Enumeration Date | 01/10/2012 |
Last Update Date | 11/30/2023 |
Certification Date | 11/30/2023 |
Medicare PECOS PAC ID | 2062689839 |
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Medicare Enrollment ID | O20120118000859 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164792941 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
Provider Name | Maxwell F Taylor |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1922182567 PECOS PAC ID: 4880601830 Enrollment ID: I20120118000864 |
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