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General NPI Number Information
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NPI Number | 1114818994
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Entity Type | Individual
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Provider Name | CHELSEY MAE MAXSON PH.D.
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Gender | Female
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Dates
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Enumeration Date | 07/10/2025
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 15720 N GREENWAY HAYDEN LOOP STE 2
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-1796
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Country | US
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Telephone | 406-214-5850
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Fax |
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Provider Business Mailing Address
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Address Line | 1505 W CAMPBELL AVE
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City | PHOENIX
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State | AZ
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Zip | 85015-3820
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Country | US
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Telephone | 406-214-5850
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY-006044
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License Number State | AZ
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