| NPI | 1699398792 |
|---|---|
| Doing Business As | C. DAVID MAXEY, M.A. |
| Entity Type | Organization |
| Authorized Contact | CHARLES DAVID MAXEY Licensed Psychologist Associate 503-928-4182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TC0700X Psychologist, Clinical | |
| Enumeration Date | 2020-05-22 |
| Last Update Date | 2024-11-14 |