Individual
TYLER C MAXSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
14780 W. MOUNTAIN VIEW BLVD., SUITE 110, SURPRISE, AZ 85374-7280
(623) 374-7774
(877) 796-5302
Mailing address
14780 W. MOUNTAIN VIEW BLVD., SUITE 110, SURPRISE, AZ 85374-7280
(480) 593-7384
(877) 796-5302
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4642
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/23/2013
Last updated
10/07/2015
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