Individual
MR. ROBERT MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., CCC-SLP
Contact information
Practice address
176 HIGHLAND AVE., APPOMATTOX, VA 24522
(434) 352-8649
Mailing address
176 HIGHLAND AVE., APPOMATTOX, VA 24522
(434) 352-8649
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202005198
VA
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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