Stefanie Maxwell is a Clinical in Chicago, Illinois. Stefanie Maxwell practices all healthcare services and medical treatments related to Clinical. The NPI Number for Stefanie Maxwell is 1245390947. The last update date is 2011-07-15.
Stefanie Maxwell's current location address is 4305 N Lincoln Ave, Chicago, Illinois. You can contact this provider via phone number 7733161488. The mailing address for Stefanie Maxwell is 4305 N Lincoln Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stefanie Maxwell |
|---|---|
| Address | 4305 N Lincoln Ave, Chicago, Illinois |
| Phone Number | 7733161488 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSY. D. |
NPI Number Detail
| NPI Number | 1245390947 |
|---|---|
| Provider Enumeration Date | 2006-12-11 |
| Last Updated Date | 2011-07-15 |
Provider Mailing Address Detail
| Address | 4305 N Lincoln Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606181711 |
| Phone Number | 7733161488 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 071-006622 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 071-006622 | IL | STATE LICENSE NUMBER |
Post Comment/ Review Below
What is the unique provider identifier assigned to Stefanie Maxwell?
The Stefanie Maxwell has been issued the NPI (National Provider Identifier) 1245390947 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Stefanie Maxwell's facilities are geographically located?
The facilities of Stefanie Maxwell are physically situated at the following location: 4305 N Lincoln Ave, Chicago, IL, 606181711.
What is Stefanie Maxwell's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Stefanie Maxwell is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
On what date did Stefanie Maxwell receive its 1245390947 assignment from the Centers for Medicare & Medicaid Services?
The Stefanie Maxwell was assigned its 1245390947 on 2006-12-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Stefanie Maxwell most recently updated or revised?
The information pertaining to Stefanie Maxwell, including its address, specialty, and other relevant details, was last updated or revised on 2011-07-15.