| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 01/10/2012 |
| Last Update Date | 11/30/2023 |
| Certification Date | 11/30/2023 |
| Medicare PECOS PAC ID | 2062689839 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922182567 PECOS PAC ID: 4880601830 Enrollment ID: I20120118000864 |
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