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General NPI Number Information
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NPI Number | 1417524687
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Entity Type | Organization
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Legal Business Name | MAXWELL PSYCHOLOGICAL SERVICES, L.L.C.
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Dates
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Enumeration Date | 06/07/2021
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Last Update Date | 09/11/2021
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Provider Practice Location Address
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Address Line | 5440 W 110TH ST STE 300
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City | OVERLAND PARK
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State | KS
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Zip | 66211-1221
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Country | US
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Telephone | 816-839-5960
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Fax |
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Provider Business Mailing Address
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Address Line | 5440 W 110TH ST STE 300
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City | OVERLAND PARK
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State | KS
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Zip | 66211-1221
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Country | US
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Telephone | 816-839-5960
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | DR. REED MAXWELL
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Credential | PHD, ABPP
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Telephone | 913-387-7987
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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