NPI | 1306234489 |
---|---|
Professional Name | C. DAVID MAXEY |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: OR 5067) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OR 5067) |
103TB0200X Psychologist, Cognitive & Behavioral (Licence: OR 5067) | |
103T00000X Psychologist (Licence: OR 5067) | |
Enumeration Date | 2014-12-25 |
Last Update Date | 2024-11-14 |