Individual
DR. LANA JESSICA MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
462 STEVENS AVE, SUITE 108, SOLANA BEACH, CA 92075-2075
(858) 793-9660
Mailing address
462 STEVENS AVE, SUITE 108, SOLANA BEACH, CA 92075-2075
(858) 793-9660
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY16443
CA
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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