Deandre A. Maxwell in Fresno - Addiction (substance Use Disorder)
Deandre A. Maxwell - NPI 1407982713
Deandre A. Maxwell is a Addiction (substance Use Disorder) in Fresno, California. Deandre A. Maxwell practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Deandre A. Maxwell is 1407982713. The last update date is 2018-12-18.
Deandre A. Maxwell's current location address is 1310 M St, Fresno, California. You can contact this provider via phone number 5592642700 and fax number 5592642767. The mailing address for Deandre A. Maxwell is 1310 M St, Fresno, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Deandre A. Maxwell |
|---|---|
| Address | 1310 M St, Fresno, California |
| Phone Number | 5592642700 |
| Fax Number | 5592642767 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1407982713 |
|---|---|
| Provider Enumeration Date | 2007-02-23 |
| Last Updated Date | 2018-12-18 |
Provider Mailing Address Detail
| Address | 1310 M St |
|---|---|
| City | Fresno |
| State | California (CA) |
| Post Code | 937211808 |
| Phone Number | 5592642700 |
| Fax Number | 5592642767 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
|
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 101076 | CA | DRUG MEDI-CAL |
Post Comment/ Review Below
What is the unique identifier code issued to Deandre A. Maxwell by the Centers for Medicare & Medicaid Services?
The Deandre A. Maxwell has been assigned the NPI (National Provider Identifier) 1407982713. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Deandre A. Maxwell is geographically located?
The Deandre A. Maxwell is physically situated at the following location: 1310 M St, Fresno, CA, 937211808.
What is the Deandre A. Maxwell's specialty and taxonomy code?
The Deandre A. Maxwell's specialty is Addiction (substance Use Disorder), and the corresponding taxonomy code is 101Ya0400X.
On what date did the Centers for Medicare & Medicaid Services assign the 1407982713 to Deandre A. Maxwell?
The Centers for Medicare & Medicaid Services assigned the 1407982713 to Deandre A. Maxwell on 2007-02-23.
As of what date was the information pertaining to Deandre A. Maxwell, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Deandre A. Maxwell, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2018-12-18.
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