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Individual
CHARLES DAVID MAXEY
Active
Individual
CHARLES DAVID MAXEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
5067
OR
103TB0200X
Cognitive & Behavioral Psychologist
5067
OR
103TC0700X
Clinical Psychologist
5067
OR
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
5067
OR
Other
Enumeration date
12/25/2014
Last updated
07/18/2025
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