Maxwell Taylor
Organization Active NPI Psychologist · Grand Rapids, MI
NPI 1205490240 · NPPES record last updated Apr 25, 2019
Key facts
- NPI
- 1205490240
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychologist 103T00000X
- Legal business name
- MAXWELL TAYLOR
- Practice address
- 401 Hall St SW Ste 112B
Grand Rapids, MI 49503-4988 - Phone
- (734) 383-0932
- NPI assigned
- Apr 25, 2019
- Organization subpart
- No
Authorized official
- Name
- Maxwell Taylor, PSYD DLLP
- Title
- Provider
- Phone
- (734) 383-0932
National Provider Directory
Locations
401 Hall St SW
Ste 112B
Grand Rapids, MI 49503
Phone (734) 383-0932
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist |
103T00000X | Yes |
Addresses
Primary practice location
401 Hall St SW Ste 112B
Grand Rapids, MI 49503-4988
Mailing address
4310 Leonard St NW Ste 103
Walker, MI 49534-8447
Phone (616) 453-6329
Other providers in Grand Rapids, MI
- John Raymond Maurer
- Paige Maurer
- Zung Mawi
- Maxim Healthcare Services, Inc.
- Judith Ann Maxim
- Breeyn Nicole Maxwell
- Casilda Maxwell
- Kelly Jo Maxwell
- Erin May-Batchelor
- Angel May
All providers in Grand Rapids, MI · Psychologist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.