Individual
DR. JACQUELINE ANNETTE MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
6950 HILLSDALE CT, INDIANAPOLIS, IN 46250
(317) 621-7740
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
(317) 621-7561
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20041818A
IN
Other
Enumeration date
07/24/2006
Last updated
09/10/2019
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