Individual
DR. MAXIM LIVSHETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
5108 196TH ST SW STE 325, LYNNWOOD, WA 98036-6152
(425) 894-6337
Mailing address
5108 196TH ST SW STE 325, LYNNWOOD, WA 98036-6152
(425) 894-6337
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY60437658
WA
103TC0700X
Clinical Psychologist
PY60437658
WA
103TF0200X
Forensic Psychologist
PY60437658
WA
Other
Enumeration date
09/09/2014
Last updated
03/31/2021
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