Individual
ELIZABETH MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
435 W 23RD ST RM 1B, NEW YORK, NY 10011-1455
(917) 699-8649
Mailing address
225 W 99TH ST, NEW YORK, NY 10025-5014
(917) 699-8649
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
000670
NY
Other
Enumeration date
03/19/2014
Last updated
03/19/2014
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