Organization
MAXWELL TAYLOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAXWELL TAYLOR PSYD DLLP (PROVIDER)
(734) 383-0932
Entity
Organization
Contact information
Practice address
401 HALL ST SW STE 112B, GRAND RAPIDS, MI 49503-4988
(734) 383-0932
Mailing address
4310 LEONARD ST NW STE 103, WALKER, MI 49534-8447
(616) 453-6329
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
04/25/2019
Last updated
04/25/2019
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