Individual
DR. HEIDI MARIE MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
135 E 38TH ST, ERIE, PA 16504-1559
(814) 488-3732
Mailing address
135 E 38TH ST BLDG 8, ERIE, PA 16504-1559
(814) 488-3732
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810006146
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
04/30/2014
Last updated
08/19/2022
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