Individual
DR. SUSAN L MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3930 E CAMELBACK RD, SUITE 205, PHOENIX, AZ 85018-2617
(602) 956-5501
(602) 468-2794
Mailing address
3930 E CAMELBACK RD, SUITE 205, PHOENIX, AZ 85018-2617
(602) 956-5501
(602) 468-2794
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0276
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0132890
BCBS
AZ
Enumeration date
05/09/2007
Last updated
10/17/2007
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