Individual
DOUGLAS F MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LP
Contact information
Practice address
43 CLARKSON ST, NEW YORK, NY 10014-3616
(646) 638-4566
(646) 638-4533
Mailing address
43 CLARKSON ST, NEW YORK, NY 10014-3616
(646) 638-4566
(646) 638-4533
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
000046
NY
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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