Individual
MS. SUZANNE MAXSON MAXSON SHIRCLIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
260 BEECHWOOD LN, ZIONSVILLE, IN 46077-1213
(317) 873-6952
(317) 873-6952
Mailing address
260 BEECHWOOD LN, ZIONSVILLE, IN 46077-1213
(317) 873-6952
(317) 873-6952
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
953536
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
953536
SCHOOL PSYCH DEPT OF EDUC
IN
Enumeration date
04/16/2008
Last updated
04/16/2008
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