Doctor Name: | MS. KATHY LEE MAXFIELD |
NPI Number: | 1124198650 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. |
License Number: | |
Business Practice Address: | 4538 W Craig Rd Suite 290 N Las Vegas, NV - 890322508 |
Business Phone Number: | 7024865614 |
Business Fax Number: | 7024865630 |
Mailing Address: | 4538 W Craig Rd, Suite 290 N LAS VEGAS |
State: | NV |
Postal Code: | 890322508 |
Phone Number: | 7024865614 |
Fax Number: | 7024865630 |
NPI Enumeration Date: | 11/09/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |