Individual
KELLY ANN MAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
3300 MAIN ST, 4TH FLOOR, STE A, SPRINGFIELD, MA 01107-1112
(413) 794-7284
(413) 794-7140
Mailing address
280 CHESTNUT ST, 2ND FLOOR, SPRINGFIELD, MA 01199-1001
(413) 794-5700
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
10323
MA
Other
Enumeration date
08/27/2009
Last updated
09/15/2022
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