Doctor Name: | JUDY K MAXWELL |
NPI Number: | 1023347283 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DR. |
License Number: | |
Business Practice Address: | 2101 Harrison Ct Audubon, PA - 194035263 |
Business Phone Number: | 4844597067 |
Business Fax Number: | |
Mailing Address: | 2101 Harrison Ct, AUDUBON |
State: | PA |
Postal Code: | 194035263 |
Phone Number: | 4844597067 |
Fax Number: | |
NPI Enumeration Date: | 12/17/2009 |
NPI Last Update Date: | 12/17/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TS0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | School |
Taxonomy Definition: |